Motria O Ukrainskyj, MD is a medicare enrolled "Surgery" physician in Passaic, New Jersey. Her current practice location is
350 Boulevard, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 365-4800.
Motria O Ukrainskyj is licensed to practice in New Jersey (license number 25MA05882800) 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 1396791703.
Physician's Profile
| Full Name | Motria O Ukrainskyj |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 350 Boulevard, Passaic, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396791703
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 12/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092740019
- Enrollment ID: I20050928001142
Medical Identifiers
Medical identifiers for Motria O Ukrainskyj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396791703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 25MA05882800 (New Jersey) | 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. Motria O Ukrainskyj allows following entities to bill medicare on her behalf.
| Entity Name | Smgh Physician Practice Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033578075 PECOS PAC ID: 6406141480 Enrollment ID: O20160830001733 |
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| Entity Name | St Marys General Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477261741 PECOS PAC ID: 5496112476 Enrollment ID: O20230607000110 |
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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. Motria O Ukrainskyj 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 |
Motria O Ukrainskyj, MD Po Box 51020, Newark, NJ 07101-5120 Ph: (973) 365-4800 | Motria O Ukrainskyj, MD 350 Boulevard, Passaic, NJ 07055-2840 Ph: (973) 365-4800 |
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