Boburjon Olimjonov, in Brooklyn, NY - Medicare Nurse Practitioner

Boburjon Olimjonov, is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. His current practice location is 3131 Kings Hwy Ste C6, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 434-0395.

Boburjon Olimjonov is licensed to practice in New York (license number F350544) 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 1538878194.

Contact Information

	Boburjon Olimjonov,
	3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643
	(718) 434-0395
	Not Available

Map and Direction

Provider's Profile

Full Name	Boburjon Olimjonov
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3131 Kings Hwy Ste C6, 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: 1538878194
Provider Enumeration Date: 11/22/2022
Last Update Date: 09/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4587016290
Enrollment ID: I20240118001698

Medical Identifiers

Medical identifiers for Boburjon Olimjonov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538878194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	736595 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F350544 (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. Boburjon Olimjonov allows following entities to bill medicare on his behalf.

Entity Name	Rejuveinate, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396347712 PECOS PAC ID: 2264812478 Enrollment ID: O20220706002013

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. Boburjon Olimjonov 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
Boburjon Olimjonov, 3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643 Ph: (646) 384-2634	Boburjon Olimjonov, 3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643 Ph: (718) 434-0395

Reviews and Comments

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Boburjon Olimjonov, - Medicare Nurse Practitioner in Brooklyn, NY