Tatyana P Fedarinenko, CFNP is a medicare enrolled "Family Medicine" in York, Pennsylvania. Her current practice location is
1501 Mount Rose Ave, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 741-5959.
Tatyana P Fedarinenko is licensed to practice in Pennsylvania (license number SP024460) 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 1063096691.
Provider's Profile
| Full Name | Tatyana P Fedarinenko |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1501 Mount Rose Ave, York, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063096691
- Provider Enumeration Date: 05/10/2021
- Last Update Date: 11/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214478908
- Enrollment ID: I20240920003513
Medical Identifiers
Medical identifiers for Tatyana P Fedarinenko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063096691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A163323 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | SP024460 (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. Tatyana P Fedarinenko allows following entities to bill medicare on her behalf.
| Entity Name | Monogram Health Professional Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134739089
PECOS PAC ID: 4880004183
Enrollment ID: O20220808002650 |
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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. Tatyana P Fedarinenko 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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Tatyana P Fedarinenko, CFNP
63 Greenwood Cir,
Ephrata, PA 17522-9013
Ph: () - | Tatyana P Fedarinenko, CFNP
1501 Mount Rose Ave,
York, PA 17403-2989
Ph: (717) 741-5959 |
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