Vyacheslav Gulkarov, FNP in Rego Park, NY - Medicare Nurse Practitioner

Vyacheslav Gulkarov, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rego Park, New York. His current practice location is 6560 Booth St Apt 4d, Rego Park, New York. You can reach out to his office (for appointments etc.) via phone at (917) 640-4589.

Vyacheslav Gulkarov is licensed to practice in New York (license number 344086) 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 1285071555.

Contact Information

	Vyacheslav Gulkarov, FNP
	6560 Booth St Apt 4d, Rego Park, NY 11374-4133
	(917) 640-4589
	Not Available

Map and Direction

Provider's Profile

Full Name	Vyacheslav Gulkarov
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6560 Booth St Apt 4d, Rego Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285071555
Provider Enumeration Date: 05/28/2013
Last Update Date: 02/19/2020

Medicare PECOS Information:

PECOS PAC ID: 0648692665
Enrollment ID: I20200622001028

Medical Identifiers

Medical identifiers for Vyacheslav Gulkarov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285071555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	624171-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	344086 (New York)	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. Vyacheslav Gulkarov allows following entities to bill medicare on his behalf.

Entity Name	Ya Anesthesia Ny Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447723986 PECOS PAC ID: 2668711490 Enrollment ID: O20190222000093

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. Vyacheslav Gulkarov 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
Vyacheslav Gulkarov, FNP 6560 Booth St Apt 4d, Rego Park, NY 11374-4133 Ph: (917) 640-4589	Vyacheslav Gulkarov, FNP 6560 Booth St Apt 4d, Rego Park, NY 11374-4133 Ph: (917) 640-4589

Reviews and Comments

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Vyacheslav Gulkarov, FNP - Medicare Nurse Practitioner in Rego Park, NY