Mr Pavel Odintsov, APN in Mahwah, NJ - Medicare Nurse Practitioner

Mr Pavel Odintsov, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Mahwah, New Jersey. His current practice location is 10 Franklin Tpke, Mahwah, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 529-0033.

Mr Pavel Odintsov is licensed to practice in New Jersey (license number 26NJ00337800) 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 1073893178.

Contact Information

	Mr Pavel Odintsov, APN
	10 Franklin Tpke, Mahwah, NJ 07430-1304
	(201) 529-0033
	(201) 529-5913

Map and Direction

Provider's Profile

Full Name	Mr Pavel Odintsov
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	10 Franklin Tpke, Mahwah, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073893178
Provider Enumeration Date: 08/19/2011
Last Update Date: 09/21/2015

Medicare PECOS Information:

PECOS PAC ID: 1557509775
Enrollment ID: I20140128001321

Medical Identifiers

Medical identifiers for Mr Pavel Odintsov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073893178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	306748 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	26NJ00337800 (New Jersey)	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. Mr Pavel Odintsov allows following entities to bill medicare on his behalf.

Entity Name	Medical Care Institute. Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982758819 PECOS PAC ID: 6800794108 Enrollment ID: O20031223000634

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. Mr Pavel Odintsov 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
Mr Pavel Odintsov, APN 20 Grand St, 3rd Fl, Warwick, NY 10990-1035 Ph: (845) 987-3906	Mr Pavel Odintsov, APN 10 Franklin Tpke, Mahwah, NJ 07430-1304 Ph: (201) 529-0033

Reviews and Comments

Nurse Practitioner Nurses in Mahwah, NJ

Jesvin Mathew, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Franklin Tpke, Mahwah, NJ 07430 Phone: 201-529-0033
Jennifer Dolis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Franklin Tpke, Mahwah, NJ 07430 Phone: 201-995-1005
Andrew J King, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Ramapo Valley Rd Ste 102b, Mahwah, NJ 07430 Phone: 614-774-7988
Marianne Homsey, A.P.N.C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Ramapo Valley Rd, Mahwah, NJ 07430 Phone: 201-684-7536 Fax: 201-684-7534
Dr. Donna Carrazzone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 W Airmount Rd, Mahwah, NJ 07430 Phone: 210-252-2040
Mrs. Jennifer Ranee Dewilde, DC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 Ramapo Valley Rd Ste 102b, Mahwah, NJ 07430 Phone: 732-300-0833

Mr Pavel Odintsov, APN - Medicare Nurse Practitioner in Mahwah, NJ