Igor Mirzadzhanov, PT in Brooklyn, NY - Medicare Physical Therapy Provider

Igor Mirzadzhanov, PT is a medicare enrolled "Physical Therapist" provider in Brooklyn, New York. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ahava Medical And Rehabilitation Center, Llc and his current practice location is 478 E 9th St Apt 3e, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 287-8224.

Igor Mirzadzhanov is licensed to practice in New York (license number 020363-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578629655.

Contact Information

	Igor Mirzadzhanov, PT
	478 E 9th St Apt 3e, Brooklyn, NY 11218-5250
	(718) 287-8224
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Igor Mirzadzhanov
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	478 E 9th St Apt 3e, Brooklyn, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Igor Mirzadzhanov graduated from medical school in 1997

NPI Data:

NPI Number: 1578629655
Provider Enumeration Date: 12/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507902400
Enrollment ID: I20091007000237

Medical Identifiers

Medical identifiers for Igor Mirzadzhanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578629655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	020363-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahava Medical And Rehabilitation Center, Llc	1557416997	87

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. Igor Mirzadzhanov allows following entities to bill medicare on his behalf.

Provider Name	Doctors' Kalika Medical Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497837769 PECOS PAC ID: 9032197728 Enrollment ID: O20071107000246

Provider Name	Ahava Medical And Rehabilitation Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443

Provider Name	Lebgutt Medical Of Brooklyn Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184070625 PECOS PAC ID: 7315358413 Enrollment ID: O20201120002012

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. Igor Mirzadzhanov 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
Igor Mirzadzhanov, PT 478 E 9th St Apt 3e, Brooklyn, NY 11218-5250 Ph: (718) 287-8224	Igor Mirzadzhanov, PT 478 E 9th St Apt 3e, Brooklyn, NY 11218-5250 Ph: (718) 287-8224

Reviews and Comments

Physical Therapist in Brooklyn, NY

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Igor Mirzadzhanov, PT - Medicare Physical Therapist in Brooklyn, NY