Artem Dyatlov, MD - Medicare General Surgery in Bridgeport, CT

Artem Dyatlov, MD is a medicare enrolled "Surgery" physician in Bridgeport, Connecticut. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and his current practice location is 2660 Main St Ste 110, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 332-4744.

Artem Dyatlov is licensed to practice in Connecticut (license number 64955) 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 1316378615.

Contact Information

Artem Dyatlov, MD
2660 Main St Ste 110,
Bridgeport, CT 06606-5301
(203) 332-4744
Not Available



Physician's Profile

Full NameArtem Dyatlov
GenderMale
SpecialityGeneral Surgery
Experience18 Years
Location2660 Main St Ste 110, Bridgeport, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Artem Dyatlov graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1316378615
  • Provider Enumeration Date: 12/11/2013
  • Last Update Date: 10/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416211974
  • Enrollment ID: I20200730001554

Medical Identifiers

Medical identifiers for Artem Dyatlov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316378615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD462842 (Pennsylvania)Secondary
208600000XSurgery 64955 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Vincent's Medical CenterBridgeport, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411138

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Artem Dyatlov allows following entities to bill medicare on his behalf.
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538

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Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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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. Artem Dyatlov 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 AddressPractice Location Address
Artem Dyatlov, MD
2660 Main St Ste 110,
Bridgeport, CT 06606-5301

Ph: (203) 332-4744
Artem Dyatlov, MD
2660 Main St Ste 110,
Bridgeport, CT 06606-5301

Ph: (203) 332-4744

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Surgery Doctors in Bridgeport, CT

Dr. Jitendra Bhagwandas Bharucha, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2660 Main St, Suite 110, Bridgeport, CT 06606
Phone: 203-332-4744    Fax: 203-333-4751
Dr. Vincent A Manjoney Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2720 Main St, 3rd Floor South, Bridgeport, CT 06606
Phone: 203-579-7500    Fax: 203-576-0035
Andrew S Kenler, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
William R Butler, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
Dr. Felix B Mpuku, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3180 Main St, Suite 305, Bridgeport, CT 06606
Phone: 203-372-6322    Fax: 203-371-8930
Alisa Savetamal, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829
Eric Tsung, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    

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