Betty Yurganova, PA-C is a medicare enrolled "Physician Assistant" in Phoenix, Maryland. Her current practice location is
14237 Jarrettsville Pike, Phoenix, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 650-4735.
Betty Yurganova is licensed to practice in Maryland (license number C0007066) 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 1629542261.
Provider's Profile
| Full Name | Betty Yurganova |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 14237 Jarrettsville Pike, Phoenix, Maryland |
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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: 1629542261
- Provider Enumeration Date: 01/16/2019
- Last Update Date: 01/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981945813
- Enrollment ID: I20190403000211
Medical Identifiers
Medical identifiers for Betty Yurganova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629542261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | C0007066 (Maryland) | 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. Betty Yurganova allows following entities to bill medicare on her behalf.
| Entity Name | Medstar Medical Group II LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
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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. Betty Yurganova 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 |
Betty Yurganova, PA-C 10812 Sherwood Hill Rd, Owings Mills, MD 21117-5846 Ph: (410) 227-5612 | Betty Yurganova, PA-C 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 Ph: (410) 650-4735 |
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