Gennadiy Bondarchuk, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Parma, Ohio. His current practice location is
6900 Ridge Rd, Parma, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 887-1100.
Gennadiy Bondarchuk is licensed to practice in Ohio (license number APRN.CNP.0029417) 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 1871266262.
Physician's Profile
| Full Name | Gennadiy Bondarchuk |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6900 Ridge Rd, Parma, Ohio |
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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: 1871266262
- Provider Enumeration Date: 07/30/2021
- Last Update Date: 06/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335661719
- Enrollment ID: I20250314000468
Medical Identifiers
Medical identifiers for Gennadiy Bondarchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871266262 | NPI | - | NPPES |
| 0465585 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN.CNP.0029417 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029417 (Ohio) | 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. Gennadiy Bondarchuk allows following entities to bill medicare on his behalf.
| Entity Name | Mcintyre Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023453867
PECOS PAC ID: 2567998719
Enrollment ID: O20241211001078 |
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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. Gennadiy Bondarchuk 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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Gennadiy Bondarchuk, MSN, APRN, FNP-C
33199 Pettibone Rd,
Solon, OH 44139-5505
Ph: (216) 769-6197 | Gennadiy Bondarchuk, MSN, APRN, FNP-C
6900 Ridge Rd,
Parma, OH 44129-5650
Ph: (440) 887-1100 |
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