Mr Ivan Borissow, PA-C in Baltimore, MD - Medicare Physician Assistant

Mr Ivan Borissow, PA-C is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. His current practice location is 5601 Loch Raven Blvd, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 444-8000.

Mr Ivan Borissow is licensed to practice in Maryland (license number C04854) 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 1194080374.

Contact Information

	Mr Ivan Borissow, PA-C
	5601 Loch Raven Blvd, Baltimore, MD 21239-2945
	(443) 444-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ivan Borissow
Gender	Male
Speciality	Physician Assistant
Location	5601 Loch Raven Blvd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194080374
Provider Enumeration Date: 07/12/2012
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 6709038904
Enrollment ID: I20131209000732

Medical Identifiers

Medical identifiers for Mr Ivan Borissow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194080374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C04854 (Maryland)	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. Mr Ivan Borissow 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
Mr Ivan Borissow, PA-C 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 Ph: (443) 444-8000	Mr Ivan Borissow, PA-C 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 Ph: (443) 444-8000

Reviews and Comments

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Jacqueline L. Hoover, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, Baltimore, MD 21239 Phone: 443-444-4730
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Mr Ivan Borissow, PA-C - Medicare Physician Assistant in Baltimore, MD