Dr Zoren Degtyarev, is a
Psychologist - Clinical based in Fpo, Armed Forces Americas. Dr Zoren Degtyarev is licensed to practice in New York (license number 028022) and his current practice location is
Building 327, H Street, Fpo, Armed Forces Americas. He can be reached at his office (for appointments etc.) via phone at
(910) 451-6628.
NPI number for Dr Zoren Degtyarev is 1407663263 and his current mailing address is Camp Lejeune, Building 327, H Street, Fpo, Armed Forces Americas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407663263.
Healthcare Provider's Profile
| Full Name | Dr Zoren Degtyarev |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | Building 327, H Street, Fpo, Armed Forces Americas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407663263
- Provider Enumeration Date: 12/16/2024
- Last Update Date: 04/07/2026
Medical Identifiers
Medical identifiers for Dr Zoren Degtyarev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407663263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 028022 (New York) | Primary |
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. Dr Zoren Degtyarev is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Zoren Degtyarev, Camp Lejeune, Building 327, H Street, Fpo, AA 28547 Ph: (910) 451-6628 | Dr Zoren Degtyarev, Building 327, H Street, Fpo, AA 28547 Ph: (910) 451-6628 |
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