Nissim Bassoul, MD in Brooklyn, NY

Nissim Bassoul, MD is a medicare enrolled "Pediatrics" physician in Brooklyn, New York. His current practice location is 2490 Ocean Pkwy, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 496-4607.

Nissim Bassoul is licensed to practice in New York (license number 1861601) 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 1023071701.

Contact Information

	Nissim Bassoul, MD
	2490 Ocean Pkwy, Brooklyn, NY 11235-6132
	(718) 496-4607
	(718) 382-1920

Map and Direction

Physician's Profile

Full Name	Nissim Bassoul
Gender	Male
Speciality	Pediatrics
Location	2490 Ocean Pkwy, 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: 1023071701
Provider Enumeration Date: 04/11/2006
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6204977242
Enrollment ID: I20100113000001

Medical Identifiers

Medical identifiers for Nissim Bassoul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023071701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1861601 (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. Nissim Bassoul allows following entities to bill medicare on his behalf.

Entity Name	Advantagecare Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446

Entity Name	Bedford Stuyvesant Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033178561 PECOS PAC ID: 0143361238 Enrollment ID: O20180423001743

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. Nissim Bassoul 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
Nissim Bassoul, MD 2490 Ocean Pkwy, Brooklyn, NY 11235-6132 Ph: (718) 496-4607	Nissim Bassoul, MD 2490 Ocean Pkwy, Brooklyn, NY 11235-6132 Ph: (718) 496-4607

Reviews and Comments

Pediatrics Doctors in Brooklyn, NY

Dr. Sadhana Bose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1545 Atlantic Ave, Interfaith Medical Center, Brooklyn, NY 11213 Phone: 718-613-4000
Dr. Joanne Moreau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Court St Ste 1200, Brooklyn, NY 11201 Phone: 929-239-4495
Dr. Danielle Abadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5260 Fax: 718-780-3266
Hugh Gilgoff, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Cadman Plaza West, Brooklyn, NY 11201 Phone: 929-210-6000 Fax: 929-210-6001
Dr. Ninad Desai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203 Phone: 718-245-4105 Fax: 718-245-4107
Dr. Diana E. Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203 Phone: 718-270-4714 Fax: 718-270-1985
Jane Fong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 7th Ave, Brooklyn, NY 11215 Phone: 718-246-8510

Nissim Bassoul, MD - Medicare Pediatrics in Brooklyn, NY