Ms Polina Khersonskiy, is a
Case Manager/care Coordinator based in San Francisco, California. Ms Polina Khersonskiy is licensed to practice in * (Not Available) (license number ) and her current practice location is
3626 Balboa St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 668-5955.
NPI number for Ms Polina Khersonskiy is 1730423013 and her current mailing address is 3626 Balboa St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730423013.
Healthcare Provider's Profile
| Full Name | Ms Polina Khersonskiy |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3626 Balboa St, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730423013
- Provider Enumeration Date: 11/27/2012
- Last Update Date: 09/15/2023
Medical Identifiers
Medical identifiers for Ms Polina Khersonskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730423013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (California) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Ms Polina Khersonskiy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Polina Khersonskiy,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 668-5955 | Ms Polina Khersonskiy,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 668-5955 |
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