Theodore M Petkov, MD - Emergency Medicine in Johnson City, NY

Theodore M Petkov, MD is a Emergency Medicine physician based in Johnson City, New York. Theodore M Petkov is licensed to practice in New York (license number 165516) and his current practice location is 33-57 Harrison St, Johnson City, New York. He can be reached at his office (for appointments etc.) via phone at (607) 763-6412.

NPI number for Theodore M Petkov is 1184616575 and his current mailing address is 346 Grand Ave, Johnson City, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184616575.

Contact Information

Theodore M Petkov, MD
33-57 Harrison St,
Johnson City, NY 13790-2143
(607) 763-6412
(607) 763-5854



Physician's Profile

Full NameTheodore M Petkov
GenderMale
SpecialityEmergency Medicine
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184616575
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 11/19/2011

Medical Identifiers

Medical identifiers for Theodore M Petkov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184616575NPI-NPPES
01740303MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 165516 (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. Theodore M Petkov 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 AddressPractice Location Address
Theodore M Petkov, MD
346 Grand Ave,
Johnson City, NY 13790-2558

Ph: (607) 770-0025
Theodore M Petkov, MD
33-57 Harrison St,
Johnson City, NY 13790-2143

Ph: (607) 763-6412

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› Verified 4 days ago


Emergency Medicine Doctors in Johnson City, NY

John Peter Zevan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6611    Fax: 607-763-6411
Dr. Shae Lynn Bolander, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Abdullah Faiq, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Teresa A Sacco-bedosky, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5854
Michael Shannon Hennessey, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Dr. Aamir Qureshi, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    

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