Dmitriy Tretiak, NP in Sherman Oaks, CA - Medicare Nurse Practitioner

Dmitriy Tretiak, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sherman Oaks, California. His current practice location is 4955 Van Nuys Blvd Ste 308, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (818) 528-1044.

Dmitriy Tretiak is licensed to practice in California (license number 95008578) 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 1861993412.

Contact Information

	Dmitriy Tretiak, NP
	4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811
	(818) 528-1044
	Not Available

Map and Direction

Provider's Profile

Full Name	Dmitriy Tretiak
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	4955 Van Nuys Blvd Ste 308, Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861993412
Provider Enumeration Date: 02/27/2018
Last Update Date: 03/16/2018

Medicare PECOS Information:

PECOS PAC ID: 0648526004
Enrollment ID: I20180627003631

Medical Identifiers

Medical identifiers for Dmitriy Tretiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861993412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95008578 (California)	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. Dmitriy Tretiak allows following entities to bill medicare on his behalf.

Entity Name	Epic Medical Group,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295178689 PECOS PAC ID: 4385883958 Enrollment ID: O20130612000470

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. Dmitriy Tretiak 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
Dmitriy Tretiak, NP 19156 Hamlin St Unit 1, Reseda, CA 91335-5842 Ph: (818) 636-9344	Dmitriy Tretiak, NP 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811 Ph: (818) 528-1044

Reviews and Comments

Nurse Practitioner Nurses in Sherman Oaks, CA

Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026

Dmitriy Tretiak, NP - Medicare Nurse Practitioner in Sherman Oaks, CA