Kate Roxalyn Gazenko, MD is a medicare enrolled "Surgery" physician in Clarksville, Arkansas. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Marys Physician Services Llc, Upper San Juan Health Service District 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 | 19 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 graduated from medical school 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 |
|---|
| 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
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Marys Physician Services Llc | 4981698032 | 49 |
| Upper San Juan Health Service District | 2769571892 | 37 |
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 | Johnson Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275558710
PECOS PAC ID: 1658360284
Enrollment ID: O20060824000013 |
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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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