Odelya Tabibov, FNP in Manhasset, NY - Medicare Nurse Practitioner

Odelya Tabibov, FNP is a medicare enrolled "Nurse Practitioner - Family" in Manhasset, New York. Her current practice location is 300 Community Dr, Manhasset, New York. You can reach out to her office (for appointments etc.) via phone at (516) 562-0100.

Odelya Tabibov is licensed to practice in New York (license number F345304-01) 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 1942945985.

Contact Information

	Odelya Tabibov, FNP
	300 Community Dr, Manhasset, NY 11030-3816
	(516) 562-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Odelya Tabibov
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 Community Dr, Manhasset, 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: 1942945985
Provider Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5597134759
Enrollment ID: I20221209000680

Medical Identifiers

Medical identifiers for Odelya Tabibov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942945985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F345304-01 (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. Odelya Tabibov allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Odelya Tabibov 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
Odelya Tabibov, FNP 9946 64th Ave, Rego Park, NY 11374-2645 Ph: () -	Odelya Tabibov, FNP 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-0100

Reviews and Comments

Nurse Practitioner Nurses in Manhasset, NY

Yuson Chong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2252
Jennifer Hartmann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 151-656-2010
Judith M Pine, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4330 Fax: 516-562-4332
Miss Mikaela Wolf, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4834
Jina Kim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Community Dr, Manhasset, NY 11030 Phone: 516-419-6036
Jennifer Lauren Petrone, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-708-2540
Elizabeth John, NP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-0100

Odelya Tabibov, FNP - Medicare Nurse Practitioner in Manhasset, NY