Kate Roxalyn Gazenko, MD - Medicare General Surgery in Clarksville, AR

Kate Roxalyn Gazenko, MD is a medicare enrolled "Surgery" physician in Clarksville, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Marys Physician Services Llc and her current practice location is 1 Medicine Dr, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 754-6510.

Kate Roxalyn Gazenko is licensed to practice in Arkansas (license number E9331) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245435213.

Contact Information

Kate Roxalyn Gazenko, MD
1 Medicine Dr,
Clarksville, AR 72830-4431
(479) 754-6510
(479) 754-5644



Physician's Profile

Full NameKate Roxalyn Gazenko
GenderFemale
SpecialityGeneral Surgery
Experience17 Years
Location1 Medicine Dr, Clarksville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kate Roxalyn Gazenko attended and graduated from University Of Arkansas College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1245435213
  • Provider Enumeration Date: 06/19/2007
  • Last Update Date: 04/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769625045
  • Enrollment ID: I20150918001153

Medical Identifiers

Medical identifiers for Kate Roxalyn Gazenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245435213NPI-NPPES
210971001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35.099672 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208600000XSurgery E9331 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson Regional Medical CenterClarksville, ARHospital

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. Kate Roxalyn Gazenko allows following entities to bill medicare on her behalf.
Entity NameSt Marys Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759

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Entity NameGazenko Surgical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225629652
PECOS PAC ID: 1456766849
Enrollment ID: O20210217000884

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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. Kate Roxalyn Gazenko 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 AddressPractice Location Address
Kate Roxalyn Gazenko, MD
1010 W Main St,
Clarksville, AR 72830-3417

Ph: (479) 705-2310
Kate Roxalyn Gazenko, MD
1 Medicine Dr,
Clarksville, AR 72830-4431

Ph: (479) 754-6510

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Surgery Doctors in Clarksville, AR

Dr. J. David Goodman, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medicine Dr, Clarksville, AR 72830
Phone: 479-754-6510    Fax: 479-754-5644
Dr. Richard Mckelvey, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medicine Dr, Clarksville, AR 72830
Phone: 479-754-6510    Fax: 479-754-5644

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