| Vyacheslav Davydov, PA-C | |
|
7901 Broadway, Elmhurst, NY 11373-1329 | |
| (718) 334-4000 | |
| Not Available |
| Full Name | Vyacheslav Davydov |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 7901 Broadway, Elmhurst, 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 |
|---|---|---|---|
| 1356950497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 025364 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Girling Health Care Of New York | Brooklyn, NY | Home health agency |
| Vns Of Ny Home Care Chha | New york, NY | Home health agency |
| Elmhurst Hospital Center | Elmhurst, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Care For You Pc | 6800207879 | 12 |
| New York City Health And Hospitals Corporation | 4183535305 | 543 |
| Entity Name | New York City Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Entity Name | Five Star Medical Office PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760731459 PECOS PAC ID: 8820248016 Enrollment ID: O20121024000554 |
| Entity Name | Medical Care for You PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659906667 PECOS PAC ID: 6800207879 Enrollment ID: O20201123002219 |
| Mailing Address | Practice Location Address |
|---|---|
| Vyacheslav Davydov, PA-C 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-2343 | Vyacheslav Davydov, PA-C 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-4000 |
Mr. Paul Adrian Powell, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000 |
Reyna Glory Bellot, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7901 Broadway # B1-c610, Elmhurst, NY 11373 Phone: 718-334-5753 Fax: 718-334-5006 |
Sasha Ameilia Kandasammy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 516-849-2409 |
Kelly Cheng, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |
Ms. Ewa Bierdzinska, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3150 Fax: 718-334-5958 |
Kiran Vinay Tak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway # D3-16, Elmhurst, NY 11373 Phone: 718-334-2548 Fax: 718-334-5006 |
Ekaete Anietie Ekpenyong, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 79-01 Broadway, Elmhurst Hospital Center, Elmhurst, NY 11373 Phone: 718-334-3556 Fax: 718-334-3557 |