Dr Grigoriy Yusupov, DDS in Elizabeth, NJ - Medicare Dentist Provider

Dr Grigoriy Yusupov, DDS is a medicare enrolled "Dentist" provider in Elizabeth, New Jersey. He went to New York University College Of Dentistry and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dentist. He is a member of the group practice Fusion Dental, P.c. and his current practice location is 65 Jefferson Avenue, Elizabeth, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 527-8688.

Dr Grigoriy Yusupov is licensed to practice in New Jersey (license number 220102207500) 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 1023279254.

Contact Information

	Dr Grigoriy Yusupov, DDS
	65 Jefferson Avenue, Elizabeth, NJ 07201
	(908) 527-8688
	(908) 527-9399

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grigoriy Yusupov
Gender	Male
Speciality	Dentist
Experience	27 Years
Location	65 Jefferson Avenue, Elizabeth, New Jersey
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:

Dr Grigoriy Yusupov attended and graduated from New York University College Of Dentistry in 1997

NPI Data:

NPI Number: 1023279254
Provider Enumeration Date: 06/20/2008
Last Update Date: 05/01/2012

Medicare PECOS Information:

PECOS PAC ID: 2860801867
Enrollment ID: I20210504000515

Medical Identifiers

Medical identifiers for Dr Grigoriy Yusupov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023279254	NPI	-	NPPES
9069909	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	220102207500 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Barnabas Medical Center	Livingston, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fusion Dental, P.c.	4587997317	3

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. Dr Grigoriy Yusupov allows following entities to bill medicare on his behalf.

Entity Name	Fusion Dental, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073076980 PECOS PAC ID: 4587997317 Enrollment ID: O20190611002131

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. Dr Grigoriy Yusupov 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
Dr Grigoriy Yusupov, DDS 65 Jefferson Avenue, Elizabeth, NJ 07201 Ph: (908) 527-8688	Dr Grigoriy Yusupov, DDS 65 Jefferson Avenue, Elizabeth, NJ 07201 Ph: (908) 527-8688

Reviews and Comments

Dentist in Elizabeth, NJ

Dr. Svetlana Konstantinova, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 707 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-354-1500
Dr. Pardeep Kaur Sidhu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 465 North Ave, Elizabeth, NJ 07208 Phone: 908-352-4438 Fax: 908-352-4525
Aleksey Novakhov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 611 Jefferson Ave, Elizabeth, NJ 07201 Phone: 908-353-5400 Fax: 908-353-7273
Dr. Herawati Tirtadjaja Kandou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 35 Jefferson Avenue, Elizabeth, NJ 07201 Phone: 908-354-1188 Fax: 908-352-7390
Dr. Luis Rafael Rojas Martinez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 915 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-325-9666
Dr. Lisa M. Jacobson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 W Jersey St, Medical Arts Building, Suite 209, C/o Dr. W. Silverman, Elizabeth, NJ 07202 Phone: 908-229-1345 Fax: 908-353-1888

Dr Grigoriy Yusupov, DDS - Medicare Dentist in Elizabeth, NJ