Inna Revutsky, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in New York, New York. Her current practice location is
356 W 18th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 271-7200.
Inna Revutsky is licensed to practice in New York (license number F40378301) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639635766.
Healthcare Provider's Profile
| Full Name | Inna Revutsky |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 356 W 18th St, New York, New York |
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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: 1639635766
- Provider Enumeration Date: 02/13/2019
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507000254
- Enrollment ID: I20220419001957
Medical Identifiers
Medical identifiers for Inna Revutsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639635766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 25MZ00135600 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F40378301 (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. Inna Revutsky allows following entities to bill medicare on her behalf.
| Provider Name | Community Health Project, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306898432
PECOS PAC ID: 1254223217
Enrollment ID: O20040325001467 |
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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. Inna Revutsky 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 |
|---|
Inna Revutsky,
356 W 18th St,
Cranford, NJ 07016-3412
Ph: (212) 271-7200 | Inna Revutsky,
356 W 18th St,
New York, NY 10011-4401
Ph: (212) 271-7200 |
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