Kseniya Khesin-shpolyansky, FNP-BC in Los Gatos, CA

Kseniya Khesin-shpolyansky, FNP-BC is a medicare enrolled "Nurse Practitioner" in Los Gatos, California. Her current practice location is 14777 Los Gatos Blvd Ste 105, Los Gatos, California. You can reach out to her office (for appointments etc.) via phone at (408) 340-5120.

Kseniya Khesin-shpolyansky is licensed to practice in California (license number 95000936) 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 1710382551.

Contact Information

	Kseniya Khesin-shpolyansky, FNP-BC
	14777 Los Gatos Blvd Ste 105, Los Gatos, CA 95032-2059
	(408) 340-5120
	(650) 421-7494

Map and Direction

Provider's Profile

Full Name	Kseniya Khesin-shpolyansky
Gender	Female
Speciality	Nurse Practitioner
Location	14777 Los Gatos Blvd Ste 105, Los Gatos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710382551
Provider Enumeration Date: 10/22/2014
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9537501002
Enrollment ID: I20240529003164

Medical Identifiers

Medical identifiers for Kseniya Khesin-shpolyansky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710382551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95000936 (California)	Primary
363LF0000X	Nurse Practitioner - Family	95000936 (California)	Secondary

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. Kseniya Khesin-shpolyansky allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kseniya Khesin-shpolyansky 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
Kseniya Khesin-shpolyansky, FNP-BC 14777 Los Gatos Blvd Ste 105, Los Gatos, CA 95032-2059 Ph: (408) 340-5120	Kseniya Khesin-shpolyansky, FNP-BC 14777 Los Gatos Blvd Ste 105, Los Gatos, CA 95032-2059 Ph: (408) 340-5120

Reviews and Comments

Nurse Practitioner Nurses in Los Gatos, CA

Leesa Jayesh Parikh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Los Gatos Saratoga Rd Ste A, Los Gatos, CA 95030 Phone: 408-686-9772
Kiranjit Kaur, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15047 Los Gatos Blvd Ste 200, Los Gatos, CA 95032 Phone: 408-364-6799
Tiffany Chan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3590
Ms. Alyssa Gomez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032 Phone: 408-364-6799 Fax: 408-378-4510
Stephanie Kurihara, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Knowles Dr Ste 212, Los Gatos, CA 95032 Phone: 408-628-0783
Mrs. Linda Mavity, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032 Phone: 408-358-2511 Fax: 408-358-1009
Kyra Marie Dougherty Delapedraja, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3640

Kseniya Khesin-shpolyansky, FNP-BC - Medicare Nurse Practitioner in Los Gatos, CA