Question 1

What type of a medical provider is Georgiy YegiazaroV?

Accepted Answer

Georgiy YegiazaroV is a Physician Assistant.

Question 2

Where does Georgiy YegiazaroV practice medicine?

Accepted Answer

Georgiy YegiazaroV has the following practice address:725 E. ADAMS STREET, SYRACUSE, NY 13210

Question 3

Does this provider have a license number?

Accepted Answer

Georgiy YegiazaroV has the following license number: License Number 022633 issued in New York.

Question 4

Does Georgiy YegiazaroV accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Where did this provider go to school?

Accepted Answer

The physcian attended Pennsylvania State University College Of Medicine and graduated 2018.

Question 6

Does Georgiy YegiazaroV have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 7

Is Georgiy YegiazaroV a member of any Medical Groups?

Accepted Answer

Georgiy YegiazaroV is affiliated with one medical group in the SYRACUSE area, DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN.

Question 8

Does Georgiy YegiazaroV participate in PECOS?

Accepted Answer

Yes, Georgiy YegiazaroV participates in PECOS.

Question 9

What phone number can I call to contact Georgiy YegiazaroV?

Accepted Answer

You can call the following number: (315)-464-5726

Question 10

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Georgiy YegiazaroV.

Question 11

Is Georgiy YegiazaroV  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with 2 hospitals, including: OSWEGO HOSPITAL

Question 12

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (6/23/2023).

Taxonomy	State	Primary?
Physician Assistant - Taxonomy Code 363A00000X	NY	Y
Physician Assistant - Taxonomy Code 363A00000X	--	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20190430001170
PECOS Individual PAC ID:	4284976911
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Georgiy YegiazaroV

Overview