Marina Nikolayevna Podolskiy, ARNP/ CNM is a medicare enrolled "Advanced Practice Midwife" in Port Charlotte, Florida. Her current practice location is
3410 Tamiami Trl, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 251-8477.
Marina Nikolayevna Podolskiy is licensed to practice in Florida (license number APRN11032140) 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 1124413323.
Provider's Profile
| Full Name | Marina Nikolayevna Podolskiy |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3410 Tamiami Trl, Port Charlotte, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124413323
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759792658
- Enrollment ID: I20201125001417
Medical Identifiers
Medical identifiers for Marina Nikolayevna Podolskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124413323 | NPI | - | NPPES |
| 2020026103 | Other | MO | MO MULTI-STATE COMPACT RN LICENSE |
| 2108562 | Medicaid | WA | |
| 11032140 | Other | FL | FL STATE APRN CNM LICENSE |
| AP60863109 | Other | WA | WA STATE ARNP LICENSE |
| CNM04878 | Other | | AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB) |
| RN60025099 | Other | WA | WA STATE DEPT OF HEALTH, RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 2020026950 (Missouri) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP60863109 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN11032140 (Florida) | 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. Marina Nikolayevna Podolskiy allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354 |
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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. Marina Nikolayevna Podolskiy 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 |
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Marina Nikolayevna Podolskiy, ARNP/ CNM
2439 Bee Ridge Rd,
Sarasota, FL 34239-6304
Ph: (941) 222-2146 | Marina Nikolayevna Podolskiy, ARNP/ CNM
3410 Tamiami Trl,
Port Charlotte, FL 33952-8112
Ph: (941) 251-8477 |
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