Slavik Osipchuk, NP is a medicare enrolled "Pain Medicine - Pain Medicine" in Boise, Idaho. His current practice location is
987 S Allante Pl, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 947-7246.
Slavik Osipchuk is licensed to practice in Idaho (license number 62202) 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 1164043162.
Provider's Profile
| Full Name | Slavik Osipchuk |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 987 S Allante Pl, Boise, Idaho |
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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: 1164043162
- Provider Enumeration Date: 04/30/2020
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476909219
- Enrollment ID: I20231030003765
Medical Identifiers
Medical identifiers for Slavik Osipchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164043162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 62202 (Idaho) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 62202 (Idaho) | 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. Slavik Osipchuk allows following entities to bill medicare on his behalf.
| Entity Name | Exodus Pain Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366849572
PECOS PAC ID: 4789979717
Enrollment ID: O20160830000218 |
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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. Slavik Osipchuk 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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Slavik Osipchuk, NP
987 S Allante Pl,
Boise, ID 83709-1612
Ph: (208) 947-7246 | Slavik Osipchuk, NP
987 S Allante Pl,
Boise, ID 83709-1612
Ph: (208) 947-7246 |
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