Roman Platon Bukachevsky, MD is a medicare enrolled "Otolaryngology" physician in Templeton, California. He went to Rutgers New Jersey Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
295 Posada Ln, Suite B, Templeton, California. You can reach out to his office (for appointments etc.) via phone at
(805) 434-5960.
Roman Platon Bukachevsky is licensed to practice in California (license number G71259) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205836954.
Physician's Profile
Full Name | Roman Platon Bukachevsky |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 38 Years |
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Location | 295 Posada Ln, Templeton, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Roman Platon Bukachevsky attended and graduated from Rutgers New Jersey Medical School in 1986
NPI Data:
- NPI Number: 1205836954
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 06/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 8921109497
- Enrollment ID: I20101019001412
Medical Identifiers
Medical identifiers for Roman Platon Bukachevsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205836954 | NPI | - | NPPES |
00G712591 | Medicaid | CA | |
W15711 | Other | CA | MEDICARE GROUP PROVIDER I |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | G71259 (California) | Primary |
Medical Facilities Affiliation
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. Roman Platon Bukachevsky allows following entities to bill medicare on his behalf.
Entity Name | Roman P. Bukachevsky, Md, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528195625 PECOS PAC ID: 6002885035 Enrollment ID: O20040927001220 |
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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. Roman Platon Bukachevsky 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 |
Roman Platon Bukachevsky, MD 295 Posada Ln, Suite B, Templeton, CA 93465-4055 Ph: (805) 434-5960 | Roman Platon Bukachevsky, MD 295 Posada Ln, Suite B, Templeton, CA 93465-4055 Ph: (805) 434-5960 |
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