Renat Khasanov, MSN, PMHNP-BC, RN in Glen Oaks, NY

Renat Khasanov, MSN, PMHNP-BC, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glen Oaks, New York. His current practice location is 75-59 263rd Street, Glen Oaks, New York. You can reach out to his office (for appointments etc.) via phone at (718) 470-5750.

Renat Khasanov is licensed to practice in New York (license number 404349) 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 1174251318.

Contact Information

	Renat Khasanov, MSN, PMHNP-BC, RN
	75-59 263rd Street, Glen Oaks, NY 11004-1100
	(718) 470-5750
	Not Available

Map and Direction

Provider's Profile

Full Name	Renat Khasanov
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	75-59 263rd Street, Glen Oaks, 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: 1174251318
Provider Enumeration Date: 08/14/2022
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 9436527918
Enrollment ID: I20221115002380

Medical Identifiers

Medical identifiers for Renat Khasanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174251318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404349 (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. Renat Khasanov allows following entities to bill medicare on his 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. Renat Khasanov 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
Renat Khasanov, MSN, PMHNP-BC, RN 2266 Bath Ave # 3010, Brooklyn, NY 11214-5714 Ph: (917) 969-6012	Renat Khasanov, MSN, PMHNP-BC, RN 75-59 263rd Street, Glen Oaks, NY 11004-1100 Ph: (718) 470-5750

Reviews and Comments

Nurse Practitioner Nurses in Glen Oaks, NY

Mr. Jacob Palathinkal, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-7000
Alicia D Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8100
Ketrice-ann Delonnay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8100
Sonam Bhandari, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8337 258th St, Glen Oaks, NY 11004 Phone: 516-765-1665
Jessica Loftus, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 516-808-8845
Ms. Edyta Koczela, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-830-8210 Fax: 718-831-0368

Renat Khasanov, MSN, PMHNP-BC, RN - Medicare Nurse Practitioner in Glen Oaks, NY