Sergey Ostrovskiy, in Cleveland, OH - Medicare Counselor Provider

Sergey Ostrovskiy, is a medicare enrolled "Counselor - Mental Health" provider in Cleveland, Ohio. His current practice location is 5162 Broadway Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 938-6829.

Sergey Ostrovskiy is licensed to practice in Ohio (license number S.1700100) 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 1174022982.

Contact Information

	Sergey Ostrovskiy,
	5162 Broadway Ave, Cleveland, OH 44127-1571
	(216) 938-6829
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sergey Ostrovskiy
Gender	Male
Speciality	Counselor - Mental Health
Location	5162 Broadway Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174022982
Provider Enumeration Date: 02/07/2018
Last Update Date: 02/07/2018

Medicare PECOS Information:

PECOS PAC ID: 1951788819
Enrollment ID: I20220513001958

Medical Identifiers

Medical identifiers for Sergey Ostrovskiy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174022982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	S.1700100 (Ohio)	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. Sergey Ostrovskiy allows following entities to bill medicare on his behalf.

Entity Name	Signature Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762

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. Sergey Ostrovskiy 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
Sergey Ostrovskiy, 5162 Broadway Ave, Cleveland, OH 44127-1571 Ph: (216) 938-6829	Sergey Ostrovskiy, 5162 Broadway Ave, Cleveland, OH 44127-1571 Ph: (216) 938-6829

Reviews and Comments

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Sergey Ostrovskiy, - Medicare Counselor in Cleveland, OH