Hellena Rafailov, PA in Staten Island, NY - Medicare Physician Assistant

Hellena Rafailov, PA is a medicare enrolled "Physician Assistant" in Staten Island, New York. Her current practice location is 1050 Clove Rd, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 816-6440.

Hellena Rafailov is licensed to practice in New York (license number 013910-1) 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 1972829133.

Contact Information

	Hellena Rafailov, PA
	1050 Clove Rd, Staten Island, NY 10301-3627
	(718) 816-6440
	(718) 816-3115

Map and Direction

Provider's Profile

Full Name	Hellena Rafailov
Gender	Female
Speciality	Physician Assistant
Location	1050 Clove Rd, Staten Island, 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: 1972829133
Provider Enumeration Date: 04/13/2010
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6204967649
Enrollment ID: I20100628001051

Medical Identifiers

Medical identifiers for Hellena Rafailov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972829133	NPI	-	NPPES
03555653	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	013910-1 (New York)	Primary

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. Hellena Rafailov 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
Hellena Rafailov, PA 441 9th Ave, Credentialing 3rd Fl, New York, NY 10001-1623 Ph: (646) 680-2894	Hellena Rafailov, PA 1050 Clove Rd, Staten Island, NY 10301-3627 Ph: (718) 816-6440

Reviews and Comments

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Hellena Rafailov, PA - Medicare Physician Assistant in Staten Island, NY