Kate Roxalyn Gazenko, MD is a medicare enrolled "Surgery" physician in Clarksville, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Marys Physician Services Llc and her current practice location is
1 Medicine Dr, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 754-6510.
Kate Roxalyn Gazenko is licensed to practice in Arkansas (license number E9331) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245435213.
Physician's Profile
| Full Name | Kate Roxalyn Gazenko |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 17 Years |
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| Location | 1 Medicine Dr, Clarksville, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kate Roxalyn Gazenko attended and graduated from University Of Arkansas College Of Medicine in 2007
NPI Data:
- NPI Number: 1245435213
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769625045
- Enrollment ID: I20150918001153
Medical Identifiers
Medical identifiers for Kate Roxalyn Gazenko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245435213 | NPI | - | NPPES |
| 210971001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35.099672 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208600000X | Surgery | E9331 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Kate Roxalyn Gazenko allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759 |
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| Entity Name | Gazenko Surgical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225629652
PECOS PAC ID: 1456766849
Enrollment ID: O20210217000884 |
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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. Kate Roxalyn Gazenko 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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Kate Roxalyn Gazenko, MD
1010 W Main St,
Clarksville, AR 72830-3417
Ph: (479) 705-2310 | Kate Roxalyn Gazenko, MD
1 Medicine Dr,
Clarksville, AR 72830-4431
Ph: (479) 754-6510 |
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