Valeriya Semenova, is a medicare enrolled "Physician Assistant" provider in Staten Island, New York. Her current practice location is
16 Fairlawn Loop, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 675-4415.
Valeriya Semenova 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 1093399578.
Healthcare Provider's Profile
Full Name | Valeriya Semenova |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 16 Fairlawn Loop, Staten Island, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093399578
- Provider Enumeration Date: 05/10/2021
- Last Update Date: 11/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608267901
- Enrollment ID: I20211221001700
Medical Identifiers
Medical identifiers for Valeriya Semenova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093399578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (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. Valeriya Semenova allows following entities to bill medicare on her behalf.
Provider Name | Ms Nutritional Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003446709 PECOS PAC ID: 2860828233 Enrollment ID: O20200203001151 |
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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. Valeriya Semenova 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 |
Valeriya Semenova, 16 Fairlawn Loop, Staten Island, NY 10308-3509 Ph: (646) 675-4415 | Valeriya Semenova, 16 Fairlawn Loop, Staten Island, NY 10308-3509 Ph: (646) 675-4415 |
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