Vivian Elbaz, in Brooklyn, NY - Medicare Nurse Practitioner

Vivian Elbaz, is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. Her current practice location is 672 Parkside Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 246-5700.

Vivian Elbaz is licensed to practice in New York (license number 343727) 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 1538635834.

Contact Information

	Vivian Elbaz,
	672 Parkside Ave, Brooklyn, NY 11226-2298
	(718) 246-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Vivian Elbaz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	672 Parkside 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: 1538635834
Provider Enumeration Date: 10/15/2018
Last Update Date: 10/15/2018

Medicare PECOS Information:

PECOS PAC ID: 8123431020
Enrollment ID: I20210114001379

Medical Identifiers

Medical identifiers for Vivian Elbaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538635834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	343727 (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. Vivian Elbaz allows following entities to bill medicare on her behalf.

Entity Name	Lasante Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740672732 PECOS PAC ID: 6204117872 Enrollment ID: O20161220001437

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. Vivian Elbaz 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
Vivian Elbaz, 30 Lancaster Ave, Brooklyn, NY 11223-5445 Ph: (718) 490-2102	Vivian Elbaz, 672 Parkside Ave, Brooklyn, NY 11226-2298 Ph: (718) 246-5700

Reviews and Comments

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Vivian Elbaz, - Medicare Nurse Practitioner in Brooklyn, NY