Dr Irina Borodulin-smik, PAC, DC is a medicare enrolled "Physician Assistant" provider in Mountain View, California. Her current practice location is
1674 N Shoreline Blvd, Mountain View, California. You can reach out to her office (for appointments etc.) via phone at
(650) 386-0323.
Dr Irina Borodulin-smik is licensed to practice in California (license number PA22970) 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 1629098116.
Healthcare Provider's Profile
| Full Name | Dr Irina Borodulin-smik |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1674 N Shoreline Blvd, Mountain View, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629098116
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 06/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587550330
- Enrollment ID: I20150528002916
Medical Identifiers
Medical identifiers for Dr Irina Borodulin-smik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629098116 | NPI | - | NPPES |
| ZZZ64417Z-30 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| DC0273900 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC 27390 (California) | Secondary |
| 363A00000X | Physician Assistant | PA22970 (California) | 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. Dr Irina Borodulin-smik 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 |
|---|
Dr Irina Borodulin-smik, PAC, DC
1674 N Shoreline Blvd,
Mountain View, CA 94043-1374
Ph: (408) 810-0404 | Dr Irina Borodulin-smik, PAC, DC
1674 N Shoreline Blvd,
Mountain View, CA 94043-1374
Ph: (650) 386-0323 |
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