Marine Petriashvili, MD in Brooklyn, NY

Marine Petriashvili, MD is a medicare enrolled "Anesthesiology" physician in Brooklyn, New York. Her current practice location is 760 Broadway, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 963-8496.

Marine Petriashvili is licensed to practice in New York (license number 271189) 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 1629168448.

Contact Information

	Marine Petriashvili, MD
	760 Broadway, Brooklyn, NY 11206-5317
	(718) 963-8496
	Not Available

Map and Direction

Physician's Profile

Full Name	Marine Petriashvili
Gender	Female
Speciality	Anesthesiology
Location	760 Broadway, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629168448
Provider Enumeration Date: 10/13/2006
Last Update Date: 09/18/2018

Medicare PECOS Information:

PECOS PAC ID: 9436418829
Enrollment ID: I20181120003163

Medical Identifiers

Medical identifiers for Marine Petriashvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629168448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	271189 (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. Marine Petriashvili allows following entities to bill medicare on her behalf.

Entity Name	Triborough Gi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255711339 PECOS PAC ID: 2466761531 Enrollment ID: O20151013000806

Entity Name	New York Medical And Diagnostic Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639605991 PECOS PAC ID: 1254602089 Enrollment ID: O20170811002274

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. Marine Petriashvili 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
Marine Petriashvili, MD 3531 85th St Apt 3j, Jackson Heights, NY 11372-5521 Ph: (718) 803-8509	Marine Petriashvili, MD 760 Broadway, Brooklyn, NY 11206-5317 Ph: (718) 963-8496

Reviews and Comments

Anesthesiology Doctors in Brooklyn, NY

Matthew Bushman, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Kings Hwy, Brooklyn, NY 11229 Phone: 718-692-5300
Dr. Elie Fried, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 450 Clarkson Ave, Brooklyn, NY 11203 Phone: 718-270-3126 Fax: 718-270-3797
Miriam Lumbreras, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 506 6th Street, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 Fax: 845-790-2675
Dr. Geraldine C. Diaz, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave Ste 6, Brooklyn, NY 11203 Phone: 718-270-2331
Lara Carol Delong, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 951 Clarkson Ave, Dept. Of Anesthesia, Brooklyn, NY 11203 Phone: 718-245-4409 Fax: 718-778-3141
Alexander Hotinsky, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2940 Ocean Pkwy, 7-n, Brooklyn, NY 11235 Phone: 718-339-3697
Mr. Simon Mardakh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 506 6th St, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 Fax: 845-790-2613

Marine Petriashvili, MD - Medicare Anesthesiology in Brooklyn, NY