Angella I Mashkabova, PA is a medicare enrolled "Physician Assistant" physician in New Hyde Park, New York. Her current practice location is
1985 Marcus Ave # 100, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at
(855) 201-4988.
Angella I Mashkabova is licensed to practice in New York (license number 019925) 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 1316461916.
Physician's Profile
| Full Name | Angella I Mashkabova |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1985 Marcus Ave # 100, New Hyde Park, 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. |
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NPI Data:
- NPI Number: 1316461916
- Provider Enumeration Date: 07/26/2017
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608288816
- Enrollment ID: I20240531001207
Medical Identifiers
Medical identifiers for Angella I Mashkabova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316461916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 019925-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 019925 (New York) | Primary |
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. Angella I Mashkabova 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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Angella I Mashkabova, PA
6334 Booth St,
Rego Park, NY 11374-2032
Ph: (917) 340-7846 | Angella I Mashkabova, PA
1985 Marcus Ave # 100,
New Hyde Park, NY 11042-2008
Ph: (855) 201-4988 |
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