Dmitriy Tretiak, NP in Tarzana, CA - Medicare Nurse Practitioner

Dmitriy Tretiak, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tarzana, California. His current practice location is 6047 Tampa Ave Ste 301, Tarzana, California. You can reach out to his office (for appointments etc.) via phone at (888) 407-6706.

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
	6047 Tampa Ave Ste 301, Tarzana, CA 91356-1182
	(888) 407-6706
	Not Available

Map and Direction

Provider's Profile

Full Name	Dmitriy Tretiak
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	6047 Tampa Ave Ste 301, Tarzana, 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: 05/18/2026

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 11539 Santini Ln, Porter Ranch, CA 91326-4421 Ph: (818) 636-9344	Dmitriy Tretiak, NP 6047 Tampa Ave Ste 301, Tarzana, CA 91356-1182 Ph: (888) 407-6706

Reviews and Comments

Nurse Practitioner Nurses in Tarzana, CA

Mrs. Nisha Eugene Hatia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18133 Ventura Blvd Ste 200, Tarzana, CA 91356 Phone: 818-480-7269 Fax: 818-784-9265
Yevgeniy Glukhovsky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18425 Burbank Blvd, Tarzana, CA 91356 Phone: 855-690-0565
Renuka Abraham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18607 Ventura Blvd Ste 102, Tarzana, CA 91356 Phone: 818-600-1472
Rachelle Q Cross, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19353 Victory Blvd, Tarzana, CA 91335 Phone: 562-866-3892
Carol V Greene, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5242 Fax: 818-508-5266
Ekaterina Dokukina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18607 Ventura Blvd Ste 204, Tarzana, CA 91356 Phone: 818-578-4355
Robyn Pichinson, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800

Dmitriy Tretiak, NP - Medicare Nurse Practitioner in Tarzana, CA