Inna Revutsky, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Bronx, New York. Her current practice location is
326 E 149th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 306-3223.
Inna Revutsky is licensed to practice in New York (license number F40378301) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639635766.
Healthcare Provider's Profile
Full Name | Inna Revutsky |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 326 E 149th St, Bronx, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639635766
- Provider Enumeration Date: 02/13/2019
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507000254
- Enrollment ID: I20220419001957
Medical Identifiers
Medical identifiers for Inna Revutsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639635766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 25MZ00135600 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F40378301 (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. Inna Revutsky 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 Address | Practice Location Address |
Inna Revutsky, 24 Mendell Ave, Cranford, NJ 07016-3412 Ph: (191) 730-6322 | Inna Revutsky, 326 E 149th St, Bronx, NY 10451-5602 Ph: (917) 306-3223 |
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