Mrs Ksenia Smirnov, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Mrs Ksenia Smirnov, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. Her current practice location is 9880 Bustleton Ave, Suite 208, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 677-0667.

Mrs Ksenia Smirnov is licensed to practice in Pennsylvania (license number SP012947) 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 1346680519.

Contact Information

	Mrs Ksenia Smirnov, CRNP
	9880 Bustleton Ave, Suite 208, Philadelphia, PA 19115-2185
	(215) 677-0667
	(215) 677-1063

Map and Direction

Provider's Profile

Full Name	Mrs Ksenia Smirnov
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	9880 Bustleton Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346680519
Provider Enumeration Date: 07/02/2013
Last Update Date: 07/02/2013

Medicare PECOS Information:

PECOS PAC ID: 1153565858
Enrollment ID: I20130919000435

Medical Identifiers

Medical identifiers for Mrs Ksenia Smirnov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346680519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP012947 (Pennsylvania)	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. Mrs Ksenia Smirnov allows following entities to bill medicare on her behalf.

Entity Name	Avellina Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285805507 PECOS PAC ID: 4385715788 Enrollment ID: O20080612000238

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. Mrs Ksenia Smirnov 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
Mrs Ksenia Smirnov, CRNP 700 Mason Dr, Warminster, PA 18974-2706 Ph: (267) 243-0671	Mrs Ksenia Smirnov, CRNP 9880 Bustleton Ave, Suite 208, Philadelphia, PA 19115-2185 Ph: (215) 677-0667

Reviews and Comments

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Mrs Ksenia Smirnov, CRNP - Medicare Nurse Practitioner in Philadelphia, PA