Nikita Bodoukhin, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Sunny Isles Beach, Florida. His current practice location is
17100 Collins Ave Ste 216, Sunny Isles Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 204-5665.
Nikita Bodoukhin is licensed to practice in Florida (license number 153947) 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 1477013639.
Physician's Profile
| Full Name | Nikita Bodoukhin |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 17100 Collins Ave Ste 216, Sunny Isles Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477013639
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951754126
- Enrollment ID: I20240124004868
Medical Identifiers
Medical identifiers for Nikita Bodoukhin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477013639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 153947 (Florida) | 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. Nikita Bodoukhin allows following entities to bill medicare on his behalf.
| Entity Name | Informed Improvement Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417643412
PECOS PAC ID: 0042663213
Enrollment ID: O20240124003486 |
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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. Nikita Bodoukhin 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 |
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Nikita Bodoukhin, MD
17100 Collins Ave Ste 216,
Sunny Isles Beach, FL 33160-3675
Ph: () - | Nikita Bodoukhin, MD
17100 Collins Ave Ste 216,
Sunny Isles Beach, FL 33160-3675
Ph: (305) 204-5665 |
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