Yekaterina Tarkovsky, in Hawley, PA - Medicare Counselor Provider

Yekaterina Tarkovsky, is a medicare enrolled "Counselor - Professional" provider in Hawley, Pennsylvania. Her current practice location is 106 Shook Rd Ste 209, Hawley, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 977-1294.

Yekaterina Tarkovsky is licensed to practice in Pennsylvania (license number PC014498) 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 1023661204.

Contact Information

	Yekaterina Tarkovsky,
	106 Shook Rd Ste 209, Hawley, PA 18428-7059
	(570) 977-1294
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yekaterina Tarkovsky
Gender	Female
Speciality	Counselor - Professional
Location	106 Shook Rd Ste 209, Hawley, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023661204
Provider Enumeration Date: 07/17/2019
Last Update Date: 06/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9032567102
Enrollment ID: I20231130000025

Medical Identifiers

Medical identifiers for Yekaterina Tarkovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023661204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC014498 (Pennsylvania)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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. Yekaterina Tarkovsky allows following entities to bill medicare on her behalf.

Entity Name	Blissful Mind Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376223966 PECOS PAC ID: 8123476298 Enrollment ID: O20231130000021

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. Yekaterina Tarkovsky 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
Yekaterina Tarkovsky, 851 Commerce Blvd, Dickson City, PA 18519-1759 Ph: (570) 489-5561	Yekaterina Tarkovsky, 106 Shook Rd Ste 209, Hawley, PA 18428-7059 Ph: (570) 977-1294

Reviews and Comments

Counselor in Hawley, PA

Mr. John Paul Tobey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Shook Rd, Suite 205, Hawley, PA 18428 Phone: 570-351-2289
Ms. Irma Vega, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3368 Hemlock Farms, Hawley, PA 18428 Phone: 570-775-9051
Samantha Kimberly Burkhardt, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Shook Rd Ste 207, Hawley, PA 18428 Phone: 570-251-0338
Cara-jean Dougherty, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Wangum Ave, Hawley, PA 18428 Phone: 570-228-9327
Nancy Van Wyk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Vanwyk Farm Rd, Hawley, PA 18428 Phone: 570-229-0516
Karen Marie Thompson, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Birch Ln, Hawley, PA 18428 Phone: 610-247-0508 Fax: 570-507-8441

Yekaterina Tarkovsky, - Medicare Counselor in Hawley, PA