Pavel Vladimirovich Kolpikov, MD is a medicare enrolled "Family Medicine" in Tacoma, Washington. His current practice location is
3020 S Union Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 269-6069.
Pavel Vladimirovich Kolpikov is licensed to practice in Washington (license number ML61243548) 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 1386274348.
Provider's Profile
Full Name | Pavel Vladimirovich Kolpikov |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 3020 S Union Ave, Tacoma, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386274348
- Provider Enumeration Date: 01/18/2020
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800260654
- Enrollment ID: I20230320000690
Medical Identifiers
Medical identifiers for Pavel Vladimirovich Kolpikov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386274348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN60621923 (Washington) | Secondary |
207R00000X | Internal Medicine | ML61243548 (Washington) | Secondary |
207Q00000X | Family Medicine | ML61243548 (Washington) | 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. Pavel Vladimirovich Kolpikov allows following entities to bill medicare on his behalf.
Entity Name | Pacific Medical Specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548911811 PECOS PAC ID: 2365838364 Enrollment ID: O20220330002418 |
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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 Vladimirovich Kolpikov 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 Vladimirovich Kolpikov, MD 16150 Ne 11th St, Bellevue, WA 98008-3502 Ph: (425) 269-6069 | Pavel Vladimirovich Kolpikov, MD 3020 S Union Ave, Tacoma, WA 98409-3317 Ph: (425) 269-6069 |
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