Elizaveta Bourchtein, PHD in Ann Arbor, MI - Medicare Psychologist Provider

Elizaveta Bourchtein, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Ann Arbor, Michigan. Her current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4000.

Elizaveta Bourchtein is licensed to practice in * (Not Available) (license number ) 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 1174142590.

Contact Information

	Elizaveta Bourchtein, PHD
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Healthcare Provider's Profile

Full Name	Elizaveta Bourchtein
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174142590
Provider Enumeration Date: 04/15/2020
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 9133595218
Enrollment ID: I20221013003218

Medical Identifiers

Medical identifiers for Elizaveta Bourchtein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174142590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	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. Elizaveta Bourchtein allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568487130 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000462

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elizaveta Bourchtein, PHD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Elizaveta Bourchtein, PHD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

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Junichi Shimaoka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1316 Packard St Apt 2, Ann Arbor, MI 48104 Phone: 408-475-8739 Fax: 734-763-0454
Dr. Amy Paggeot, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105 Phone: 734-462-3210
Dr. Lara N Coughlin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4250 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6443
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Elizaveta Bourchtein, PHD - Medicare Psychologist in Ann Arbor, MI

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

People with learning disabilities are more likely to die from coronavirus

US Farms, Nature's Best enter distribution partnership

‘Narrow therapeutic window' for oxygen in brain injury

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Thousands of unknown chemicals and substances found in e-cigarettes

Psychologist in Ann Arbor, MI