Dr Rafael Yakutilov, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Rockaway Park, New York. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Neurology. His current practice location is
15 Beach 105th St, Rockaway Park, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 474-0023.
Dr Rafael Yakutilov is licensed to practice in New York (license number 229375) 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 1003811720.
Physician's Profile
Full Name | Dr Rafael Yakutilov |
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Gender | Male |
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Speciality | Neurology |
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Experience | 29 Years |
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Location | 15 Beach 105th St, Rockaway Park, New York |
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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 Rafael Yakutilov graduated from medical school in 1995
NPI Data:
- NPI Number: 1003811720
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 01/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 2163404245
- Enrollment ID: I20040602001429
Medical Identifiers
Medical identifiers for Dr Rafael Yakutilov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003811720 | NPI | - | NPPES |
02574349 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 229375 (New York) | 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. Dr Rafael Yakutilov allows following entities to bill medicare on his behalf.
Entity Name | Rafael Yakutilov Neurology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073708269 PECOS PAC ID: 0042307688 Enrollment ID: O20081217000178 |
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Entity Name | New York Queens Medicine And Surgery, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
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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. Dr Rafael Yakutilov 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 Rafael Yakutilov, MD 15 Beach 105th St, Rockaway Park, NY 11694-2640 Ph: (718) 474-0023 | Dr Rafael Yakutilov, MD 15 Beach 105th St, Rockaway Park, NY 11694-2640 Ph: (718) 474-0023 |
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