Yelena M Popova, PAC is a medicare enrolled "Physician Assistant" physician in Sacramento, California. Her current practice location is
3234 Marysville Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 646-1200.
Yelena M Popova is licensed to practice in California (license number PA18255) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821061680.
Physician's Profile
| Full Name | Yelena M Popova |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 3234 Marysville Blvd, Sacramento, 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: 1821061680
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 06/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294815825
- Enrollment ID: I20080108000597
Medical Identifiers
Medical identifiers for Yelena M Popova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821061680 | NPI | - | NPPES |
| EFF: 1/31/12 | Medicaid | CA | |
| MACK RD-EFF 9/27/13 | Medicaid | CA | |
| P01453321-DV5277 | Other | CA | RAILROAD MEDICARE |
| EFF: 2/20/13 | Medicaid | CA | |
| EFF: 2/20/2013 | Medicaid | CA | |
| P01284219/DS9933 | Other | CA | RAILROAD MEDICARE |
| PA18255 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA18255 (California) | Secondary |
| 363A00000X | Physician Assistant | PA18255 (California) | Primary |
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. Yelena M Popova 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 |
|---|
Yelena M Popova, PAC
200 Oceangate, Suite 100,
Long Beach, CA 90802-4317
Ph: (562) 499-6191 | Yelena M Popova, PAC
3234 Marysville Blvd,
Sacramento, CA 95815-1411
Ph: (916) 646-1200 |
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