Mr Vitaly Semenov, FNP-BC in Brooklyn, NY - Medicare Nurse Practitioner

Mr Vitaly Semenov, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. His current practice location is 7101 Narrows Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 680-0657.

Mr Vitaly Semenov is licensed to practice in New York (license number 343680) 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 1922575265.

Contact Information

	Mr Vitaly Semenov, FNP-BC
	7101 Narrows Ave, Brooklyn, NY 11209-1805
	(718) 680-0657
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Vitaly Semenov
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7101 Narrows Ave, Brooklyn, 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: 1922575265
Provider Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 1456692854
Enrollment ID: I20190412000516

Medical Identifiers

Medical identifiers for Mr Vitaly Semenov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922575265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	343680 (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 Vitaly Semenov allows following entities to bill medicare on his behalf.

Entity Name	Coney Island Medical Practice Plan, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660

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 Vitaly Semenov 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 Vitaly Semenov, FNP-BC 130 Avenue P Ste 2p, Brooklyn, NY 11204-6337 Ph: (347) 598-6259	Mr Vitaly Semenov, FNP-BC 7101 Narrows Ave, Brooklyn, NY 11209-1805 Ph: (718) 680-0657

Reviews and Comments

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Mr Vitaly Semenov, FNP-BC - Medicare Nurse Practitioner in Brooklyn, NY