Dina Kotova, FNP in Albuquerque, NM - Medicare Nurse Practitioner

Dina Kotova, FNP is a medicare enrolled "Nurse Practitioner" in Albuquerque, New Mexico. Her current practice location is 4320 The 25 Way Ne Ste 400, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 808-3754.

Dina Kotova is licensed to practice in New Mexico (license number CNP-02153) 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 1609219831.

Contact Information

	Dina Kotova, FNP
	4320 The 25 Way Ne Ste 400, Albuquerque, NM 87109-5881
	(505) 808-3754
	(505) 344-1060

Map and Direction

Provider's Profile

Full Name	Dina Kotova
Gender	Female
Speciality	Nurse Practitioner
Location	4320 The 25 Way Ne Ste 400, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609219831
Provider Enumeration Date: 04/08/2013
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8325272271
Enrollment ID: I20131008000364

Medical Identifiers

Medical identifiers for Dina Kotova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609219831	NPI	-	NPPES
93374534	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP-02153 (New Mexico)	Secondary
363L00000X	Nurse Practitioner	CNP-02153 (New Mexico)	Primary

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. Dina Kotova allows following entities to bill medicare on her behalf.

Entity Name	Link Medical Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730657016 PECOS PAC ID: 1759657604 Enrollment ID: O20231026001481

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. Dina Kotova 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
Dina Kotova, FNP 4320 The 25 Way Ne Ste 400, Albuquerque, NM 87109-5881 Ph: (505) 808-3754	Dina Kotova, FNP 4320 The 25 Way Ne Ste 400, Albuquerque, NM 87109-5881 Ph: (505) 808-3754

Reviews and Comments

Nurse Practitioner Nurses in Albuquerque, NM

Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607
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Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220

Dina Kotova, FNP - Medicare Nurse Practitioner in Albuquerque, NM