Ilyas Yambayev, MD in Brockton, MA

Ilyas Yambayev, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Brockton, Massachusetts. His current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 941-7000.

Ilyas Yambayev is licensed to practice in Massachusetts (license number 286413) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457882557.

Contact Information

	Ilyas Yambayev, MD
	680 Centre St, Brockton, MA 02302-3308
	(508) 941-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ilyas Yambayev
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	680 Centre St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457882557
Provider Enumeration Date: 03/21/2017
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0244501047
Enrollment ID: I20220525000795

Medical Identifiers

Medical identifiers for Ilyas Yambayev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457882557	NPI	-	NPPES
110127115A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	286413 (Massachusetts)	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. Ilyas Yambayev allows following entities to bill medicare on his behalf.

Entity Name	Boston University Mallory Pathology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457308637 PECOS PAC ID: 2062301807 Enrollment ID: O20040311000546

Entity Name	Signature Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372

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. Ilyas Yambayev 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
Ilyas Yambayev, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () -	Ilyas Yambayev, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000

Reviews and Comments

Pathology Doctors in Brockton, MA

Dr. Desiree A Carlson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295
Jitka Persinova, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295
Paul R Tanguay, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Attn Pathology Dept, Brockton, MA 02301 Phone: 508-427-3086 Fax: 508-588-0520
Dr. Amy E Mondelblatt, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Department Of Pathology, Brockton, MA 02302 Phone: 508-941-7040
Dr. Yuxiang Ma, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7414
Abdallah Azouz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 Fax: 508-941-6000
Robert F Wright Jr., MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295

Ilyas Yambayev, MD - Medicare Pathology in Brockton, MA