Olaf Kristian Golubjatnikov, is a medicare enrolled "Family Medicine" physician in Gualala, California. His current practice location is
46900 Ocean View Dr, Gualala, California. You can reach out to his office (for appointments etc.) via phone at
(707) 884-4005.
Olaf Kristian Golubjatnikov is licensed to practice in California (license number NP95026352) 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 1336900968.
Physician's Profile
| Full Name | Olaf Kristian Golubjatnikov |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 46900 Ocean View Dr, Gualala, California |
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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: 1336900968
- Provider Enumeration Date: 01/22/2024
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486009420
- Enrollment ID: I20240918003959
Medical Identifiers
Medical identifiers for Olaf Kristian Golubjatnikov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336900968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | NP95026352 (California) | 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. Olaf Kristian Golubjatnikov allows following entities to bill medicare on his behalf.
| Entity Name | Redwood Coast Medical Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962530725
PECOS PAC ID: 6901941905
Enrollment ID: O20100302000446 |
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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. Olaf Kristian Golubjatnikov 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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Olaf Kristian Golubjatnikov,
65 Millard Rd,
Larkspur, CA 94939-1957
Ph: (415) 306-3743 | Olaf Kristian Golubjatnikov,
46900 Ocean View Dr,
Gualala, CA 95445-8458
Ph: (707) 884-4005 |
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