Kyrill Gurtovenko, PHD is a medicare enrolled "Psychologist - Clinical" provider in Seattle, Washington. His current practice location is
Seattle Children's Hospital, 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 987-2164.
Kyrill Gurtovenko is licensed to practice in Washington (license number 61025362) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659933034.
Healthcare Provider's Profile
Full Name | Kyrill Gurtovenko |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | Seattle Children's Hospital, Seattle, Washington |
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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: 1659933034
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 08/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830509389
- Enrollment ID: I20201111002996
Medical Identifiers
Medical identifiers for Kyrill Gurtovenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659933034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 61025362 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyrill Gurtovenko allows following entities to bill medicare on his behalf.
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
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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. Kyrill Gurtovenko 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 |
Kyrill Gurtovenko, PHD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2164 | Kyrill Gurtovenko, PHD Seattle Children's Hospital, 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, WA 98105 Ph: (206) 987-2164 |
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