Mikhael Belkovsky
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Worcester, MA
NPI 1609626571 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1609626571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-0661
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241001003787 | MA | Order and Referring Only - General Surgery |
3173054178 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
2330 Euclid Heights Blvd Apt 310
Cleveland Heights, OH 44106-2738
Other providers in Worcester, MA
- Leah Belazarian
- Donna Marie Belcher
- Clara Belenky
- Kristen Belin
- Laurence Justin Belin
- Abigail E Bell
- Alexia R Bell
- Doreen M Bell
- Emilee Bell
- Heather A Bell
All providers in Worcester, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.