Dr Iryna Ilyasova, MD | |
1500 Route 112 Ste A, Port Jefferson Station, NY 11776-8055 | |
(631) 686-1414 | |
Not Available |
Full Name | Dr Iryna Ilyasova |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 1500 Route 112 Ste A, Port Jefferson Station, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073005484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 311503 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John T Mather Memorial Hospital | 1254237753 | 140 |
Entity Name | John T Mather Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754 |
Entity Name | Harbor View Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861636219 PECOS PAC ID: 5092865873 Enrollment ID: O20090617000230 |
Mailing Address | Practice Location Address |
---|---|
Dr Iryna Ilyasova, MD 1500 Route 112 Ste A, Port Jefferson Station, NY 11776-8055 Ph: (631) 743-6840 | Dr Iryna Ilyasova, MD 1500 Route 112 Ste A, Port Jefferson Station, NY 11776-8055 Ph: (631) 686-1414 |
Dr. Michael W Mendelson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Matias M Dcosta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
Kinjal Amit Gosalia, STUDENT Internal Medicine Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506 | |
Zarlasht Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840 | |
Anil Sangwan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427 | |
Anish Desai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119 |