Dr Roosevelt Boursiquot, MD, MPHIL in Brooklyn, NY

Dr Roosevelt Boursiquot, MD, MPHIL is a medicare enrolled "Internal Medicine" physician in Brooklyn, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Icahn School Of Medicine At Mount Sinai, North Shore - Lij Medical Pc and his current practice location is 470 Clarkson Ave, Msc#59, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 270-7207.

Dr Roosevelt Boursiquot is licensed to practice in New York (license number 287069) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013399872.

Contact Information

	Dr Roosevelt Boursiquot, MD, MPHIL
	470 Clarkson Ave, Msc#59, Brooklyn, NY 11203
	(718) 270-7207
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Roosevelt Boursiquot
Gender	Male
Speciality	Hospitalist
Experience	9 Years
Location	470 Clarkson Ave, Brooklyn, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Roosevelt Boursiquot graduated from medical school in 2015

NPI Data:

NPI Number: 1013399872
Provider Enumeration Date: 06/29/2015
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6406101104
Enrollment ID: I20180621000183

Medical Identifiers

Medical identifiers for Dr Roosevelt Boursiquot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013399872	NPI	-	NPPES
05234079	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	287069 (New York)	Secondary
207R00000X	Internal Medicine	287069 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Staten Island University Hospital	Staten island, NY	Hospital
Mount Sinai Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2323
North Shore - Lij Medical Pc	3375701568	5120

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 Roosevelt Boursiquot allows following entities to bill medicare on his behalf.

Entity Name	University Physicians Of Brooklyn, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366506271 PECOS PAC ID: 0749192284 Enrollment ID: O20040401000120

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330

Entity Name	University Hospital Of Brooklyn Suny Downstate Health Sciences Univers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396318986 PECOS PAC ID: 7113318122 Enrollment ID: O20220207001135

Entity Name	Rb Medical Practice, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962157644 PECOS PAC ID: 0042605719 Enrollment ID: O20220315002371

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 Roosevelt Boursiquot 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 Roosevelt Boursiquot, MD, MPHIL 121 Dekalb Ave, Brooklyn, NY 11201-5425 Ph: (718) 250-6946	Dr Roosevelt Boursiquot, MD, MPHIL 470 Clarkson Ave, Msc#59, Brooklyn, NY 11203 Ph: (718) 270-7207

Reviews and Comments

Internal Medicine Doctors in Brooklyn, NY

Dr. Alexander Usorov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 447 Atlantic Ave, Brooklyn, NY 11217 Phone: 718-858-6300
Dr. Marcellus Andre Walker, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2094 Pitkin Ave, Brooklyn, NY 11207 Phone: 718-240-0516 Fax: 718-240-0564
Lotus Ahmed, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 518 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-848-5432 Fax: 347-252-6754
Mrs. Sophia Schwartzman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Ocean Avenue, Brooklyn, NY 11229 Phone: 518-587-1141
Dr. Haitham M Ahmed, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Pennsylvania Avenue, Brooklyn, NY 11207 Phone: 718-240-2000 Fax: 718-240-2260
Yanjin Yang, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-3000
Ashwad Afzal, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5246

Dr Roosevelt Boursiquot, MD, MPHIL - Medicare Hospitalist in Brooklyn, NY