Vyacheslav Pastukh, APN in Vineland, NJ - Medicare Nurse Practitioner

Vyacheslav Pastukh, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Vineland, New Jersey. His current practice location is 1100 E Chestnut Ave, Vineland, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 696-0108.

Vyacheslav Pastukh is licensed to practice in New Jersey (license number 26NJ01055900) 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 1457968182.

Contact Information

	Vyacheslav Pastukh, APN
	1100 E Chestnut Ave, Vineland, NJ 08360-5002
	(856) 696-0108
	Not Available

Map and Direction

Provider's Profile

Full Name	Vyacheslav Pastukh
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	1100 E Chestnut Ave, Vineland, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457968182
Provider Enumeration Date: 09/27/2020
Last Update Date: 09/27/2020

Medicare PECOS Information:

PECOS PAC ID: 4486065570
Enrollment ID: I20201120001643

Medical Identifiers

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

Identifier	Type	State	Issuer
1457968182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	26NJ01055900 (New Jersey)	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 Pastukh allows following entities to bill medicare on his behalf.

Entity Name	Excelcare Alliance Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891090510 PECOS PAC ID: 0941470082 Enrollment ID: O20110830000049

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 Pastukh 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 Pastukh, APN 1882 Wynnewood Dr, Vineland, NJ 08361-6771 Ph: (856) 777-3968	Vyacheslav Pastukh, APN 1100 E Chestnut Ave, Vineland, NJ 08360-5002 Ph: (856) 696-0108

Reviews and Comments

Nurse Practitioner Nurses in Vineland, NJ

Brian Hugh Shannon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1138 E Chestnut Ave Ste 8b, Vineland, NJ 08360 Phone: 856-213-9733 Fax: 856-575-5080
Donna Gibson, RN, APNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000
Erika Charlene Cruz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000
Angel Antonio Ramos, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1051 W Sherman Ave, Vineland, NJ 08360 Phone: 631-534-7246
Anastasia Abena Amponsah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 994 W Sherman Ave Bldg 2, Vineland, NJ 08360 Phone: 856-288-1281
Miss Suzett Simone Shaw, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2445 S Delsea Dr, Inspira Life Vineland, Vineland, NJ 08360 Phone: 856-334-1961
Marcia Montanez Cathey, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3403 S Delsea Dr, Vineland, NJ 08360 Phone: 856-293-6974

Vyacheslav Pastukh, APN - Medicare Nurse Practitioner in Vineland, NJ