Yakov Nisimov, NP in Flushing, NY - Medicare Nurse Practitioner

Yakov Nisimov, NP is a medicare enrolled "Nurse Practitioner - Family" in Flushing, New York. His current practice location is 7925 150th St Apt B26, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 415-5494.

Yakov Nisimov is licensed to practice in New York (license number 352558) 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 1952183980.

Contact Information

	Yakov Nisimov, NP
	7925 150th St Apt B26, Flushing, NY 11367-3877
	(718) 415-5494
	Not Available

Map and Direction

Provider's Profile

Full Name	Yakov Nisimov
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7925 150th St Apt B26, Flushing, 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: 1952183980
Provider Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9133577034
Enrollment ID: I20231204001613

Medical Identifiers

Medical identifiers for Yakov Nisimov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952183980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	352558 (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. Yakov Nisimov allows following entities to bill medicare on his behalf.

Entity Name	Wb Homecare Adullt& Family Health Np Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073063087 PECOS PAC ID: 8123389715 Enrollment ID: O20180222000562

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. Yakov Nisimov 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
Yakov Nisimov, NP 7925 150th St Apt B26, Flushing, NY 11367-3877 Ph: (718) 415-5494	Yakov Nisimov, NP 7925 150th St Apt B26, Flushing, NY 11367-3877 Ph: (718) 415-5494

Reviews and Comments

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Yakov Nisimov, NP - Medicare Nurse Practitioner in Flushing, NY