Vadim P Pustynovich, FNP-C in Coeur D Alene, ID

Vadim P Pustynovich, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Coeur D Alene, Idaho. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kootenai Urgent Care Llc and his current practice location is 700 W Ironwood Dr Ste 120, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-3640.

Vadim P Pustynovich is licensed to practice in Idaho (license number NP66228) 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 1518507086.

Contact Information

	Vadim P Pustynovich, FNP-C
	700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814-4405
	(208) 625-3640
	(208) 625-3645

Map and Direction

Provider's Profile

Full Name	Vadim P Pustynovich
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	700 W Ironwood Dr Ste 120, Coeur D Alene, Idaho
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:

Vadim P Pustynovich graduated from nursing school in 2019

NPI Data:

NPI Number: 1518507086
Provider Enumeration Date: 01/13/2020
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4789004409
Enrollment ID: I20210113002738

Medical Identifiers

Medical identifiers for Vadim P Pustynovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518507086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01002700 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	NP66228 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Urgent Care Llc	1052441946	17

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. Vadim P Pustynovich allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821312356 PECOS PAC ID: 1052441946 Enrollment ID: O20100621000358

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. Vadim P Pustynovich 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
Vadim P Pustynovich, FNP-C 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-3640	Vadim P Pustynovich, FNP-C 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814-4405 Ph: (208) 625-3640

Reviews and Comments

Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Elizabeth Lynn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N 3rd St Ste 12, Coeur D Alene, ID 83814 Phone: 208-261-2411 Fax: 866-291-4766
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645
Raquel Joye Lins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288

Vadim P Pustynovich, FNP-C - Medicare Nurse Practitioner in Coeur D Alene, ID