Ianina Suponitsky, AGNP - Medicare Nurse Practitioner in Brooklyn, NY

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Ianina Suponitsky, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Brooklyn, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York Society For The Relief Of Ruptured And Crippled Maintaining, Interborough Developmental And Consultation Center Inc and her current practice location is 1773 E 12th St, #4d, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (347) 713-3023.

Ianina Suponitsky is licensed to practice in New York (license number F307084-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124407465.

Contact Information

Ianina Suponitsky, AGNP
1773 E 12th St, #4d,
Brooklyn, NY 11229-1051
(347) 713-3023
(718) 208-4022

Map and Direction




Provider's Profile

Full NameIanina Suponitsky
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1773 E 12th St, Brooklyn, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ianina Suponitsky graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1124407465
  • Provider Enumeration Date: 05/19/2015
  • Last Update Date: 09/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840590121
  • Enrollment ID: I20170824003674

Medical Identifiers

Medical identifiers for Ianina Suponitsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124407465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307084-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York Society For The Relief Of Ruptured And Crippled Maintaining478981820491
Interborough Developmental And Consultation Center Inc7911898192108

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. Ianina Suponitsky allows following entities to bill medicare on her behalf.
Entity NameInterborough Developmental And Consultation Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588611842
PECOS PAC ID: 7911898192
Enrollment ID: O20040324001602
Entity NameNew York Society For The Relief Of Ruptured & Crippled Maintaining
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427496652
PECOS PAC ID: 4789818204
Enrollment ID: O20131016000041

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. Ianina Suponitsky 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 AddressPractice Location Address
Ianina Suponitsky, AGNP
Po Box 290421,
Brooklyn, NY 11229-0421

Ph: (347) 713-3023		Ianina Suponitsky, AGNP
1773 E 12th St, #4d,
Brooklyn, NY 11229-1051

Ph: (347) 713-3023

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.