Reava Khristenko, NP is a medicare enrolled "Nurse Practitioner" physician in Boston, Massachusetts. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nesc Macipa Llc, Nesc Bidpo Llc, Dermcare Physicians And Surgeons Llc and her current practice location is
150 S Huntington Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 232-9500.
Reava Khristenko is licensed to practice in Massachusetts (license number RN2306581) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093229379.
Physician's Profile
Full Name | Reava Khristenko |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Experience | 7 Years |
---|
Location | 150 S Huntington Ave, Boston, Massachusetts |
---|
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Reava Khristenko graduated from medical school in 2017
NPI Data:
- NPI Number: 1093229379
- Provider Enumeration Date: 11/25/2017
- Last Update Date: 11/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 6002176419
- Enrollment ID: I20191211000442
Medical Identifiers
Medical identifiers for Reava Khristenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093229379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | RN2306581 (Massachusetts) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | RN2306581 (Massachusetts) | Secondary |
363L00000X | Nurse Practitioner | RN2306581 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nesc Macipa Llc | 2062659071 | 4 |
Nesc Bidpo Llc | 6709023716 | 4 |
Dermcare Physicians And Surgeons Llc | 9234141904 | 9 |
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. Reava Khristenko allows following entities to bill medicare on her behalf.
Entity Name | Dermcare Physicians And Surgeons Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1780636597 PECOS PAC ID: 9234141904 Enrollment ID: O20060620000223 |
---|
Entity Name | Nesc Bidpo Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1235478595 PECOS PAC ID: 6709023716 Enrollment ID: O20130513000006 |
---|
Entity Name | Nesc Macipa Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1467791665 PECOS PAC ID: 2062659071 Enrollment ID: O20130513000011 |
---|
Entity Name | Nesc Steward Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1538575386 PECOS PAC ID: 3173848355 Enrollment ID: O20150210001641 |
---|
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. Reava Khristenko 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 |
Reava Khristenko, NP 193 South St, Chestnut Hill, MA 02467-3630 Ph: (617) 921-0966 | Reava Khristenko, NP 150 S Huntington Ave, Boston, MA 02130-4817 Ph: (617) 232-9500 |
Reviews and Comments