Ekaterina Rout, is a medicare enrolled "General Practice" physician in Longview, Washington. Her current practice location is
1152 Douglas St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 940-0880.
Ekaterina Rout is licensed to practice in Washington (license number MDCE.ML.61606251) 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 1316771397.
Physician's Profile
Full Name | Ekaterina Rout |
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Gender | Female |
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Speciality | General Practice |
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Location | 1152 Douglas St, Longview, 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: 1316771397
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 11/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153856232
- Enrollment ID: I20241126002931
Medical Identifiers
Medical identifiers for Ekaterina Rout such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316771397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MDCE.ML.61606251 (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. Ekaterina Rout allows following entities to bill medicare on her behalf.
Entity Name | Columbia Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962265900 PECOS PAC ID: 0840630109 Enrollment ID: O20240502004113 |
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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. Ekaterina Rout 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 |
Ekaterina Rout, 43575 Mission Blvd, Fremont, CA 94539-5831 Ph: (408) 476-0624 | Ekaterina Rout, 1152 Douglas St, Longview, WA 98632-2452 Ph: (360) 940-0880 |
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