Mr Oded Haidatov, PA in Flushing, NY - Medicare Physician Assistant

Mr Oded Haidatov, PA is a medicare enrolled "Physician Assistant - Surgical" in Flushing, New York. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is 14707a 77th Rd, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (646) 898-7420.

Mr Oded Haidatov is licensed to practice in New York (license number 015869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144577925.

Contact Information

	Mr Oded Haidatov, PA
	14707a 77th Rd, Flushing, NY 11367-3428
	(646) 898-7420
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Oded Haidatov
Gender	Male
Speciality	Physician Assistant
Experience	14 Years
Location	14707a 77th Rd, Flushing, 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.

Medical Education and Training:

Mr Oded Haidatov graduated from nursing school in 2012

NPI Data:

NPI Number: 1144577925
Provider Enumeration Date: 08/10/2012
Last Update Date: 09/13/2012

Medicare PECOS Information:

PECOS PAC ID: 5294951182
Enrollment ID: I20140730000806

Medical Identifiers

Medical identifiers for Mr Oded Haidatov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144577925	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	015869 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Long Island Jewish Medical Center	New hyde park, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore-lij Medical Pc	3375701568	5625

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Oded Haidatov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Oded Haidatov, PA 14707a 77th Rd, Flushing, NY 11367-3428 Ph: (646) 898-7420	Mr Oded Haidatov, PA 14707a 77th Rd, Flushing, NY 11367-3428 Ph: (646) 898-7420

Reviews and Comments

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Mr Oded Haidatov, PA - Medicare Physician Assistant in Flushing, NY