Tarkhanov Medical P.c. - Medicare Primary Care in Staten Island, NY

Tarkhanov Medical P.c. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Staten Island, New York. The current practice location for Tarkhanov Medical P.c. is 15 Rome Ave, Staten Island, New York. For appointments, you can reach them via phone at (718) 351-6203. The mailing address for Tarkhanov Medical P.c. is 15 Rome Ave, Staten Island, New York and phone number is (917) 273-9926.

Tarkhanov Medical P.c. is licensed to practice in New York (license number 243184). The clinic also participates in the medicare program and its NPI number is 1508308743. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 351-6203.

Contact Information

Tarkhanov Medical P.c.
15 Rome Ave
Staten Island
NY 10304-4317
(718) 351-6203
(917) 652-0951

Map and Direction


Primary Care Clinic Profile

Full NameTarkhanov Medical P.c.
SpecialityClinic/Center
Location15 Rome Ave, Staten Island, New York
Authorized Official Name and PositionNikolay Tarkhanov (OWNER)
Authorized Official Contact7183516203
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tarkhanov Medical P.c.
15 Rome Ave
Staten Island
NY 10304-4317

Ph: (917) 273-9926
Tarkhanov Medical P.c.
15 Rome Ave
Staten Island
NY 10304-4317

Ph: (718) 351-6203

NPI Details:

NPI Number1508308743
Provider Enumeration Date11/04/2016
Last Update Date11/04/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8921389891
Medicare Enrollment IDO20170109000894

Medical Identifiers

Medical identifiers for Tarkhanov Medical P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508308743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 243184 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tarkhanov Medical P.c. acts as a billing entity for following providers:
Provider NameNikolay S Tarkhanov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487782629
PECOS PAC ID: 8022116482
Enrollment ID: I20070607000681

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.