Sergey Krupochkin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Modesto, California. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Essen Medical Associates, Pc and his current practice location is
1700 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at
(209) 569-7493.
Sergey Krupochkin is licensed to practice in California (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174198303.
Provider's Profile
| Full Name | Sergey Krupochkin |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1700 Coffee Rd, Modesto, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sergey Krupochkin graduated from nursing school in 2021
NPI Data:
- NPI Number: 1174198303
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 05/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 1658779186
- Enrollment ID: I20211013001695
Medical Identifiers
Medical identifiers for Sergey Krupochkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174198303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 310323 (New York) | Secondary |
| 163W00000X | Registered Nurse | 746535 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Essen Medical Associates, Pc | 1759353501 | 274 |
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. Sergey Krupochkin allows following entities to bill medicare on his behalf.
| Entity Name | Essen Medical Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
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| Entity Name | Bhaskar R. Yeturu Physician Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265706196 PECOS PAC ID: 5193984383 Enrollment ID: O20120307000506 |
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| Entity Name | Essen Medical Urgicare, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
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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. Sergey Krupochkin 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 |
Sergey Krupochkin, MD 1700 Coffee Rd, Modesto, CA 95355-2803 Ph: (209) 569-7493 | Sergey Krupochkin, MD 1700 Coffee Rd, Modesto, CA 95355-2803 Ph: (209) 569-7493 |
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