Pavel Prokopchuk, in Eureka, CA - Medicare Nurse Practitioner

Pavel Prokopchuk, is a medicare enrolled "Nurse Practitioner" in Eureka, California. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Open Door Community Health Centers and his current practice location is 2200 Tydd St, Eureka, California. You can reach out to his office (for appointments etc.) via phone at (707) 269-7051.

Pavel Prokopchuk is licensed to practice in California (license number 95018779) 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 1841952355.

Contact Information

	Pavel Prokopchuk,
	2200 Tydd St, Eureka, CA 95501-1284
	(707) 269-7051
	(707) 269-7054

Map and Direction

Provider's Profile

Full Name	Pavel Prokopchuk
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2200 Tydd St, Eureka, 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:

Pavel Prokopchuk graduated from nursing school in 2021

NPI Data:

NPI Number: 1841952355
Provider Enumeration Date: 10/12/2021
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6002202025
Enrollment ID: I20220331000045

Medical Identifiers

Medical identifiers for Pavel Prokopchuk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841952355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95018779 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Open Door Community Health Centers	9436067485	92

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. Pavel Prokopchuk allows following entities to bill medicare on his behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

Entity Name	Swope Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972500593 PECOS PAC ID: 2264403443 Enrollment ID: O20040802001469

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. Pavel Prokopchuk 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
Pavel Prokopchuk, 1275 8th St, Arcata, CA 95521-5770 Ph: (707) 826-8633	Pavel Prokopchuk, 2200 Tydd St, Eureka, CA 95501-1284 Ph: (707) 269-7051

Reviews and Comments

Nurse Practitioner Nurses in Eureka, CA

Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990

Pavel Prokopchuk, - Medicare Nurse Practitioner in Eureka, CA