Dr Mikhail Gutkin, PHD is a medicare enrolled "Counselor - Mental Health" provider in Vallejo, California. His current practice location is
1761 Broadway St, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at
(707) 645-2700.
Dr Mikhail Gutkin is licensed to practice in * (Not Available) (license number ) 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 1679601041.
Healthcare Provider's Profile
| Full Name | Dr Mikhail Gutkin |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 1761 Broadway St, Vallejo, California |
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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: 1679601041
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537310586
- Enrollment ID: I20121121000418
Medical Identifiers
Medical identifiers for Dr Mikhail Gutkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679601041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY24794 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY24794 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Dr Mikhail Gutkin allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Mikhail Gutkin 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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Dr Mikhail Gutkin, PHD
1761 Broadway St,
Vallejo, CA 94589-2226
Ph: () - | Dr Mikhail Gutkin, PHD
1761 Broadway St,
Vallejo, CA 94589-2226
Ph: (707) 645-2700 |
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