Anna Ictchenko, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Pine Beach, New Jersey. Anna Ictchenko is licensed to practice in Virginia (license number 0024192216) and her current practice location is
906 Motor Rd, Pine Beach, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(718) 300-4049.
NPI number for Anna Ictchenko is 1265241459 and her current mailing address is 906 Motor Rd, Pine Beach, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265241459.
Provider's Profile
Full Name | Anna Ictchenko |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 906 Motor Rd, Pine Beach, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265241459
- Provider Enumeration Date: 01/02/2025
- Last Update Date: 01/02/2025
Medical Identifiers
Medical identifiers for Anna Ictchenko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265241459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024192216 (Virginia) | 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. Anna Ictchenko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anna Ictchenko, PMHNP-BC 906 Motor Rd, Pine Beach, NJ 08741-1533 Ph: (718) 300-4049 | Anna Ictchenko, PMHNP-BC 906 Motor Rd, Pine Beach, NJ 08741-1533 Ph: (718) 300-4049 |
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