Eduard Tsyrulnykov, APNP in Mequon, WI - Medicare Nurse Practitioner

Eduard Tsyrulnykov, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mequon, Wisconsin. His current practice location is 11649 N Port Washington Rd Ste 201&221, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 999-3495.

Eduard Tsyrulnykov is licensed to practice in Wisconsin (license number 9921-33) 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 1720213812.

Contact Information

	Eduard Tsyrulnykov, APNP
	11649 N Port Washington Rd Ste 201&221, Mequon, WI 53092-3460
	(262) 999-3495
	Not Available

Map and Direction

Provider's Profile

Full Name	Eduard Tsyrulnykov
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11649 N Port Washington Rd Ste 201&221, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720213812
Provider Enumeration Date: 05/19/2009
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 8527489855
Enrollment ID: I20200522000330

Medical Identifiers

Medical identifiers for Eduard Tsyrulnykov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720213812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9921-33 (Wisconsin)	Primary
163W00000X	Registered Nurse	200181 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11016687 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95019975 (California)	Secondary

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. Eduard Tsyrulnykov allows following entities to bill medicare on his behalf.

Entity Name	Kenvelo2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184353310 PECOS PAC ID: 5294190740 Enrollment ID: O20231113002201

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. Eduard Tsyrulnykov 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
Eduard Tsyrulnykov, APNP 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (262) 999-3495	Eduard Tsyrulnykov, APNP 11649 N Port Washington Rd Ste 201&221, Mequon, WI 53092-3460 Ph: (262) 999-3495

Reviews and Comments

Nurse Practitioner Nurses in Mequon, WI

Mrs. Brittany Frisque, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255
Mrs. Mary Katherine Kautz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097 Phone: 262-243-3700 Fax: 262-243-3701
Kathryn R Rodberg, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11430 N. Port Washington Rd., Mequon, WI 53092 Phone: 262-518-1900
Katelyn Steger, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255
Mrs. Kelly Marie Bublitz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd Ste 204, Mequon, WI 53097 Phone: 262-243-2524
Lindsay A Wojciechowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200
Annette S Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8239

Eduard Tsyrulnykov, APNP - Medicare Nurse Practitioner in Mequon, WI