Mr Yevgeniy Pustilnikov, in Los Angeles, CA - Medicare Nurse Practitioner

Mr Yevgeniy Pustilnikov, is a medicare enrolled "Nurse Practitioner - Gerontology" in Los Angeles, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice County Of Los Angeles and his current practice location is 1335 N La Brea Ave, Apt#105, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 829-9261.

Mr Yevgeniy Pustilnikov is licensed to practice in California (license number 18429) 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 1053561290.

Contact Information

	Mr Yevgeniy Pustilnikov,
	1335 N La Brea Ave, Apt#105, Los Angeles, CA 90028-7526
	(323) 829-9261
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Yevgeniy Pustilnikov
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	1335 N La Brea Ave, Los Angeles, California
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:

Mr Yevgeniy Pustilnikov graduated from nursing school in 2008

NPI Data:

NPI Number: 1053561290
Provider Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008

Medicare PECOS Information:

PECOS PAC ID: 1355497546
Enrollment ID: I20090912000003

Medical Identifiers

Medical identifiers for Mr Yevgeniy Pustilnikov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053561290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	18429 (California)	Primary
364SG0600X	Clinical Nurse Specialist - Gerontology	3055 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lac+usc Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Los Angeles	1850296534	270

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 Yevgeniy Pustilnikov allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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 Yevgeniy Pustilnikov 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
Mr Yevgeniy Pustilnikov, 1335 N La Brea Ave Apt 105, Los Angeles, CA 90028-7565 Ph: (323) 829-9261	Mr Yevgeniy Pustilnikov, 1335 N La Brea Ave, Apt#105, Los Angeles, CA 90028-7526 Ph: (323) 829-9261

Reviews and Comments

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Mr Yevgeniy Pustilnikov, - Medicare Nurse Practitioner in Los Angeles, CA