Ivan Andriianov, CRNA is a medicare enrolled "Registered Nurse" in Saratoga Spgs, New York. His current practice location is
211 Church St, Saratoga Spgs, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 587-3222.
Ivan Andriianov is licensed to practice in New York (license number 711027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649981390.
Provider's Profile
| Full Name | Ivan Andriianov |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 211 Church St, Saratoga Spgs, New York |
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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: 1649981390
- Provider Enumeration Date: 12/13/2022
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799157970
- Enrollment ID: I20230216001827
Medical Identifiers
Medical identifiers for Ivan Andriianov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649981390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 711027 (New York) | 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. Ivan Andriianov allows following entities to bill medicare on his behalf.
| Entity Name | Albany Medical College |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386 |
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| Entity Name | Albany Medical College |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497921688
PECOS PAC ID: 1759293111
Enrollment ID: O20190320001621 |
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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. Ivan Andriianov 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 |
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Ivan Andriianov, CRNA
26 Thoroughbred Way,
Clifton Park, NY 12065-6744
Ph: (518) 779-3066 | Ivan Andriianov, CRNA
211 Church St,
Saratoga Spgs, NY 12866-1003
Ph: (518) 587-3222 |
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