Kseniya Dor, NP in Rego Park, NY - Medicare Nurse Practitioner

Kseniya Dor, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Rego Park, New York. Her current practice location is 6433 99th St Apt 6l, Rego Park, New York. You can reach out to her office (for appointments etc.) via phone at (929) 255-0911.

Kseniya Dor is licensed to practice in New York (license number F309554) 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 1669095196.

Contact Information

	Kseniya Dor, NP
	6433 99th St Apt 6l, Rego Park, NY 11374-3543
	(929) 255-0911
	Not Available

Map and Direction

Provider's Profile

Full Name	Kseniya Dor
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	6433 99th St Apt 6l, Rego Park, 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: 1669095196
Provider Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020

Medicare PECOS Information:

PECOS PAC ID: 2163881343
Enrollment ID: I20230706001626

Medical Identifiers

Medical identifiers for Kseniya Dor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669095196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F309554 (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. Kseniya Dor allows following entities to bill medicare on her behalf.

Entity Name	Brookview Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532

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. Kseniya Dor 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
Kseniya Dor, NP 6433 99th St Apt 6l, Rego Park, NY 11374-3543 Ph: (929) 255-0911	Kseniya Dor, NP 6433 99th St Apt 6l, Rego Park, NY 11374-3543 Ph: (929) 255-0911

Reviews and Comments

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Natalie Fernanda Galvez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9932 66th Rd Lbby, Rego Park, NY 11374 Phone: 718-896-4090
Nathalie Avignon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97-77 Queens Blvd, Penthouse, Rego Park, NY 11374 Phone: 718-896-9090

Kseniya Dor, NP - Medicare Nurse Practitioner in Rego Park, NY