Vyacheslav Nisonov, DPT in Brooklyn, NY - Medicare Physical Therapy Provider

Vyacheslav Nisonov, DPT is a medicare enrolled "Physical Therapist" provider in Brooklyn, New York. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Petkov Bodywork Therapy Llc and his current practice location is 49 Montrose Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 473-3808.

Vyacheslav Nisonov is licensed to practice in New York (license number 041926) 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 1386294577.

Contact Information

	Vyacheslav Nisonov, DPT
	49 Montrose Ave, Brooklyn, NY 11206-2580
	(718) 473-3808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vyacheslav Nisonov
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	49 Montrose Ave, 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:

Vyacheslav Nisonov graduated from medical school in 2017

NPI Data:

NPI Number: 1386294577
Provider Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 0143551663
Enrollment ID: I20220321000570

Medical Identifiers

Medical identifiers for Vyacheslav Nisonov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386294577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	041926 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Petkov Bodywork Therapy Llc	8820428444	8

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. Vyacheslav Nisonov allows following entities to bill medicare on his behalf.

Provider Name	Petkov Bodywork Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386271690 PECOS PAC ID: 8820428444 Enrollment ID: O20200423000321

Provider Name	Arizona Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830

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. Vyacheslav Nisonov 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
Vyacheslav Nisonov, DPT 9740 62nd Dr Apt 7c, Rego Park, NY 11374-1324 Ph: (347) 677-4360	Vyacheslav Nisonov, DPT 49 Montrose Ave, Brooklyn, NY 11206-2580 Ph: (718) 473-3808

Reviews and Comments

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Vyacheslav Nisonov, DPT - Medicare Physical Therapist in Brooklyn, NY