| Mr Ivan Ivanovich Drazek, PA-C | |
|
103 Viceroy Dr, Camillus, NY 13031-3001 | |
| (315) 882-4923 | |
| Not Available |
| Full Name | Mr Ivan Ivanovich Drazek |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 103 Viceroy Dr, Camillus, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285814616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1074875 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Carthage Area Hospital, Inc | Ogdensburg, NY | Hospital |
| Gouverneur Hospital | Gouverneur, NY | Hospital |
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Country Orthopaedic Group Pc | 8426043381 | 18 |
| Entity Name | North Country Orthopaedic Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568445344 PECOS PAC ID: 8426043381 Enrollment ID: O20040419001437 |
| Entity Name | Claxton Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114164944 PECOS PAC ID: 0244389153 Enrollment ID: O20090526000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Ivanovich Drazek, PA-C 103 Viceroy Dr, Camillus, NY 13031-3001 Ph: (315) 882-4923 | Mr Ivan Ivanovich Drazek, PA-C 103 Viceroy Dr, Camillus, NY 13031-3001 Ph: (315) 882-4923 |
Lydia J Anders, R PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 W Genesee St, Suite 132, Camillus, NY 13031 Phone: 315-487-5858 Fax: 315-487-1950 |
Ashley Marie Maxam, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-470-7409 |
Rita E Macdonald, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 West Genesee St., Camillus, NY 13031 Phone: 315-488-1112 Fax: 315-488-6707 |
Ivan Y Olesh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3399 Warners Rd, Camillus, NY 13031 Phone: 315-460-5872 |
Mr. John Hyde Alden Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Robinhood Ln, Camillus, NY 13031 Phone: 315-387-5701 Fax: 315-435-5540 |
Amy Lynn Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2323 |
Brianna Baldwin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5301 W Genesee St, Camillus, NY 13031 Phone: 315-253-2333 |