Where does Eka DavitachvilI practice medicine?

Eka DavitachvilI has the following practice address:1705 E 17TH ST LOWR LEVEL, BROOKLYN, NY 11229-2645

Does this provider have a license number?

Eka DavitachvilI has the following license number: License Number N006252 issued in New York.

Does Eka DavitachvilI accept Medicare?

Yes. The provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Does Eka DavitachvilI have any board certifications?

The provider does not have any board certifications.

Is Eka DavitachvilI a member of any Medical Groups?

Eka DavitachvilI is not affiliated with any medical groups.

Does Eka DavitachvilI participate in PECOS?

Yes, Eka DavitachvilI participates in PECOS.

What phone number can I call to contact Eka DavitachvilI?

You can call the following number: (917)-399-0361

Are there any exclusions against this provider?

We have not detected any Exclusions tied directly to Eka DavitachvilI.

Is Eka DavitachvilI affiliated with any hospitals?

The provider is not affiliated with any hospitals.

When was this information last updated?

The CMS-based NPPES information was updated approximately 2 years ago (11/2/2023).

Overview Referral Sources Referral Destinations Practice Locations 1 Prescriptions Procedures Same Address Same Phone

No Medical Groups

No Affl. Hospitals

Primary Practice Address
1705 E 17TH ST LOWR LEVEL
BROOKLYN, NY 11229-2645 US

Accepts Medicare Payment

PECOS Enrolled

Eka DavitachvilI

Podiatrist (Foot & Ankle Surgery)

BROOKLYN, NY
Phone: (917)-399-0361
Last Updated 11/2/2023

Overview

Q: What type of a medical provider is Eka DavitachvilI?

Eka DavitachvilI is a Podiatrist (Foot & Ankle Surgery).

Q: Where did this provider go to school?

The physcian attended New York College Of Podiatric Medicine and graduated 2005.

Eka DavitachvilI is a Podiatrist (Foot & Ankle Surgery) in the BROOKLYN area and has over 20 years of experience. Eka DavitachvilI primary office location is at 1705 E 17TH ST LOWR LEVEL and new patients are welcome to contact this healthcare provider for an appointment. She attended New York College Of Podiatric Medicine and graduated 2005 The NPI number is 1376797894 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1705 E 17TH ST LOWR LEVEL
BROOKLYN, NY 11229-2645 US
Phone: (917)-399-0361
Fax:

Practice Mailing Information
71 ORCHARD ST
MIDLAND PARK, NJ 11229-2645 US
Phone: (917)-399-0361
Fax:

License Number	State
N006252	NY

Taxonomy	State	Primary?
Podiatrist (Foot & Ankle Surgery) - Taxonomy Code 213ES0103X	NY	Y

Community Based Residential Treatment Facilites (Mental Retardation and/or Developmental Disabilities) in Nearby Cities

The numbers count the organizations that list Community Based Residential Treatment Facility (Mental Retardation and/or Developmental Disabilities) as their Primary Taxonomy.

Nearby Community Based Residential Treatment Facilites (Mental Retardation and/or Developmental Disabilities)

indicates nearby organizations with referral data.

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20090630000312
PECOS Individual PAC ID:	0749331973
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)	-

Eka DavitachvilI

Podiatrist (Foot & Ankle Surgery)

Overview

Contact Information

No Identifiers found

Quality Reporting:

PECOS Details:

Community Based Residential Treatment Facilites (Mental Retardation and/or Developmental Disabilities) in Nearby Cities

Nearby Community Based Residential Treatment Facilites (Mental Retardation and/or Developmental Disabilities)

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