Mr Pavel Odintsov, APN - Medicare Nurse Practitioner in New City, NY

Mr Pavel Odintsov, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in New City, New York. His current practice location is 182 S Main St Ste 106, New City, New York. You can reach out to his office (for appointments etc.) via phone at (845) 358-4000.

Mr Pavel Odintsov is licensed to practice in New York (license number 306748) 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 1073893178.

Contact Information

Mr Pavel Odintsov, APN
182 S Main St Ste 106,
New City, NY 10956-3318
(845) 358-4000
(201) 529-5913

Map and Direction




Provider's Profile

Full NameMr Pavel Odintsov
GenderMale
SpecialityNurse Practitioner - Primary Care
Location182 S Main St Ste 106, New City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073893178
  • Provider Enumeration Date: 08/19/2011
  • Last Update Date: 08/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557509775
  • Enrollment ID: I20140128001321

Medical Identifiers

Medical identifiers for Mr Pavel Odintsov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073893178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 306748 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health 26NJ00337800 (New Jersey)Secondary
363LP2300XNurse Practitioner - Primary Care 306748 (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. Mr Pavel Odintsov allows following entities to bill medicare on his behalf.
Entity NameMedical Care Institute. Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982758819
PECOS PAC ID: 6800794108
Enrollment ID: O20031223000634

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. Mr Pavel Odintsov 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 AddressPractice Location Address
Mr Pavel Odintsov, APN
20 Grand St, 3rd Fl,
Warwick, NY 10990-1035

Ph: (845) 987-3906
Mr Pavel Odintsov, APN
182 S Main St Ste 106,
New City, NY 10956-3318

Ph: (845) 358-4000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.