Sergiy Omelayenko, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lutz, Florida. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Drs. Ellis, Rojas, Ross And Debs, Inc. and his current practice location is
21502 Northwood Dr, Lutz, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 451-5940.
Sergiy Omelayenko is licensed to practice in Florida (license number 11010653) 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 1962018150.
Provider's Profile
| Full Name | Sergiy Omelayenko |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 21502 Northwood Dr, Lutz, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sergiy Omelayenko graduated from nursing school in 2020
NPI Data:
- NPI Number: 1962018150
- Provider Enumeration Date: 09/22/2020
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658787361
- Enrollment ID: I20210304000070
Medical Identifiers
Medical identifiers for Sergiy Omelayenko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962018150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 9267898 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26559 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11010653 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Drs. Ellis, Rojas, Ross And Debs, Inc. | 4587563408 | 80 |
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. Sergiy Omelayenko allows following entities to bill medicare on his behalf.
| Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255313169
PECOS PAC ID: 4587563408
Enrollment ID: O20040108000602 |
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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. Sergiy Omelayenko 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 |
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Sergiy Omelayenko, CRNA
21502 Northwood Dr,
Lutz, FL 33549-4195
Ph: (813) 451-5940 | Sergiy Omelayenko, CRNA
21502 Northwood Dr,
Lutz, FL 33549-4195
Ph: (813) 451-5940 |
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