Dr Vitaliy Zhivotenko, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Paradise Valley, Arizona. His current practice location is
5410 N Scottsdale Rd Ste I-100a, Paradise Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 572-2444.
Dr Vitaliy Zhivotenko is licensed to practice in Arizona (license number 008793) 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 1336431907.
Physician's Profile
| Full Name | Dr Vitaliy Zhivotenko |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 5410 N Scottsdale Rd Ste I-100a, Paradise Valley, Arizona |
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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: 1336431907
- Provider Enumeration Date: 05/13/2011
- Last Update Date: 10/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032350251
- Enrollment ID: I20220421002789
Medical Identifiers
Medical identifiers for Dr Vitaliy Zhivotenko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336431907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0400X | Psychiatry & Neurology - Neurology | 282150 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 282150 (New York) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 008793 (Arizona) | 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. Dr Vitaliy Zhivotenko allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Pain Treatment Center P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316990831 PECOS PAC ID: 9133106800 Enrollment ID: O20040630000917 |
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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. Dr Vitaliy Zhivotenko 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 |
Dr Vitaliy Zhivotenko, DO 5410 N Scottsdale Rd Ste I-100a, Paradise Valley, AZ 85253-5927 Ph: (480) 572-2444 | Dr Vitaliy Zhivotenko, DO 5410 N Scottsdale Rd Ste I-100a, Paradise Valley, AZ 85253-5927 Ph: (480) 572-2444 |
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