Rustam Blatov, CRNA in Roseville, CA - Medicare Nurse Anesthetist, Certified Registered

Rustam Blatov, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roseville, California. His current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 784-4000.

Rustam Blatov is licensed to practice in California (license number 4335) 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 1134468390.

Contact Information

	Rustam Blatov, CRNA
	1600 Eureka Rd, Roseville, CA 95661-3027
	(916) 784-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Rustam Blatov
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134468390
Provider Enumeration Date: 02/07/2013
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2567617293
Enrollment ID: I20130304000504

Medical Identifiers

Medical identifiers for Rustam Blatov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134468390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4335 (California)	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. Rustam Blatov allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Northbay Neonatology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265513360 PECOS PAC ID: 4789571720 Enrollment ID: O20040303000640

Entity Name	El Dorado Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356390983 PECOS PAC ID: 2163314048 Enrollment ID: O20040325001674

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. Rustam Blatov 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
Rustam Blatov, CRNA 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000	Rustam Blatov, CRNA 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roseville, CA

Mr. Thomas Kelly Rexinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3080 Alderwood Pl, Roseville, CA 95747 Phone: 916-601-5073
Keeci Goodman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Amanda Wittmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Kelli Renee Linster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6634
Amanda Dennis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-8000
Mr. Samuel Yu, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Dept Of Anesthesia, Roseville, CA 95661 Phone: 916-784-5617

Rustam Blatov, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roseville, CA