Mr Georgiy Yusupov, - Medicare Nurse Practitioner in Brooklyn, NY

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Mr Georgiy Yusupov, is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. His current practice location is 3709 Flatlands Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 444-7766.

Mr Georgiy Yusupov is licensed to practice in New York (license number F347371-01) 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 1164007548.

Contact Information

Mr Georgiy Yusupov,
3709 Flatlands Ave,
Brooklyn, NY 11234-3507
(718) 444-7766
Not Available

Map and Direction




Provider's Profile

Full NameMr Georgiy Yusupov
GenderMale
SpecialityNurse Practitioner - Family
Location3709 Flatlands Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164007548
  • Provider Enumeration Date: 03/16/2021
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587071840
  • Enrollment ID: I20210402000524

Medical Identifiers

Medical identifiers for Mr Georgiy Yusupov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164007548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F347371-01 (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. Mr Georgiy Yusupov allows following entities to bill medicare on his behalf.
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532
Entity NameGeorgiy Yusupov Family Health Nurse Practitioner P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003521436
PECOS PAC ID: 6204207152
Enrollment ID: O20230201000258

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. Mr Georgiy Yusupov 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
Mr Georgiy Yusupov,
14020 68th Dr,
Flushing, NY 11367-1652

Ph: (646) 331-5198		Mr Georgiy Yusupov,
3709 Flatlands Ave,
Brooklyn, NY 11234-3507

Ph: (718) 444-7766

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.