Individual ProviderIgor KrivitskiyEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside, CA 92501(951) 788-3000PECOS EnrollmentBased on the most recent information from CMS, provider Igor Krivitskiy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366947095Provider TypeIndividualFull NameKrivitskiy, IgorGenderMaleSole ProprietorNoEnumeration Date3/26/2018Last Updated1/5/2022Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside, CA 92501Phone(951) 788-3000FaxUnlisted FaxMailing LocationMailing Address4445 Magnolia Ave, Riverside, CA 92501-4135PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseT1989TexasCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense165883California