Lyudmila E Kruzhkov, MD in Longview, WA - Medicare Internal Medicine

Lyudmila E Kruzhkov, MD is a medicare enrolled "Internal Medicine" physician in Longview, Washington. Her current practice location is 1615 Delaware St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 501-3601.

Lyudmila E Kruzhkov is licensed to practice in Washington (license number 60709743) 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 1053679852.

Contact Information

	Lyudmila E Kruzhkov, MD
	1615 Delaware St, Longview, WA 98632-2367
	(360) 501-3601
	Not Available

Map and Direction

Physician's Profile

Full Name	Lyudmila E Kruzhkov
Gender	Female
Speciality	Internal Medicine
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053679852
Provider Enumeration Date: 04/30/2012
Last Update Date: 11/06/2019

Medicare PECOS Information:

PECOS PAC ID: 5294033213
Enrollment ID: I20170302001838

Medical Identifiers

Medical identifiers for Lyudmila E Kruzhkov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053679852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	282174 (New York)	Secondary
207R00000X	Internal Medicine	60709743 (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. Lyudmila E Kruzhkov allows following entities to bill medicare on her behalf.

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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. Lyudmila E Kruzhkov 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
Lyudmila E Kruzhkov, MD 3002 E 25th St, Vancouver, WA 98661-4567 Ph: (703) 853-0063	Lyudmila E Kruzhkov, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3601

Reviews and Comments

Internal Medicine Doctors in Longview, WA

Yoon Hee Amy Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768

Lyudmila E Kruzhkov, MD - Medicare Internal Medicine in Longview, WA