Ivan Kozhulenko, CRNA in Oklahoma City, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Ivan Kozhulenko, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ou Health Partners Inc and his current practice location is 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-4351.

Ivan Kozhulenko is licensed to practice in Oklahoma (license number 127368) 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 1023592805.

Contact Information

	Ivan Kozhulenko, CRNA
	920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104-5036
	(405) 271-4351
	(405) 271-8695

Map and Direction

Provider's Profile

Full Name	Ivan Kozhulenko
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, Oklahoma
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:

Ivan Kozhulenko graduated from nursing school in 2018

NPI Data:

NPI Number: 1023592805
Provider Enumeration Date: 09/18/2018
Last Update Date: 12/17/2020

Medicare PECOS Information:

PECOS PAC ID: 7618211046
Enrollment ID: I20181211003453

Medical Identifiers

Medical identifiers for Ivan Kozhulenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023592805	NPI	-	NPPES
12345	Other	OK	NONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	127368 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
O U Medical Center	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ou Health Partners Inc	5991105876	795

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 Kozhulenko allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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 Kozhulenko 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
Ivan Kozhulenko, CRNA Po Box 26901, Oklahoma City, OK 73126-0901 Ph: (405) 271-4351	Ivan Kozhulenko, CRNA 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612

Ivan Kozhulenko, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oklahoma City, OK