Poulet Nikolay, MD in Burbank, CA - Medicare Family Practice

Poulet Nikolay, MD is a medicare enrolled "Family Medicine" physician in Burbank, California. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice County Of Los Angeles, Southern California Permanente Medical Group and her current practice location is 191 S Buena Vista St, Suite 220, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (818) 557-2671.

Poulet Nikolay is licensed to practice in California (license number A115824) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407156615.

Contact Information

	Poulet Nikolay, MD
	191 S Buena Vista St, Suite 220, Burbank, CA 91505-4554
	(818) 557-2671
	Not Available

Map and Direction

Physician's Profile

Full Name	Poulet Nikolay
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	191 S Buena Vista St, Burbank, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Poulet Nikolay graduated from medical school in 1999

NPI Data:

NPI Number: 1407156615
Provider Enumeration Date: 10/22/2010
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9436321627
Enrollment ID: I20111012000440

Medical Identifiers

Medical identifiers for Poulet Nikolay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407156615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A115824 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lac+usc Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Los Angeles	1850296534	270
Southern California Permanente Medical Group	6002729175	8172

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. Poulet Nikolay allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Poulet Nikolay 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
Poulet Nikolay, MD 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (818) 557-2671	Poulet Nikolay, MD 191 S Buena Vista St, Suite 220, Burbank, CA 91505-4554 Ph: (818) 557-2671

Reviews and Comments

Family Medicine Doctors in Burbank, CA

Tri Duy Dao, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 S Buena Vista St, Suite 100, Burbank, CA 91505 Phone: 855-723-3005 Fax: 855-817-9681
Dr. Bagrat Mkrtchyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4323 W Riverside Dr, Burbank, CA 91505 Phone: 818-556-2700
Racquel S Quema, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 E Angeleno Ave Ste 105, Burbank, CA 91501 Phone: 818-900-2301 Fax: 818-900-2471
Dr. Sagir Girish Bera, D.O., M.P.H., M.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4323 W Riverside Dr, Burbank, CA 91505 Phone: 818-556-2700 Fax: 818-295-3450
John Chung, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4023 W Burbank Blvd, Burbank, CA 91505 Phone: 818-845-0023
Dr. Diana Dermendjian, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4323 W Riverside Dr, Burbank, CA 91505 Phone: 818-556-2700 Fax: 818-295-3450
Alexander Evan Kertzner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4323 W Riverside Dr, Burbank, CA 91505 Phone: 818-556-2700 Fax: 818-295-3450

Poulet Nikolay, MD - Medicare Family Practice in Burbank, CA