Yan Yusupov, PT - Medicare Physical Therapist in Rego Park, NY

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Yan Yusupov, PT is a medicare enrolled "Physical Therapist" provider in Rego Park, New York. His current practice location is 97-35 63 Drive, Rego Park, New York. You can reach out to his office (for appointments etc.) via phone at (718) 459-2771.

Yan Yusupov is licensed to practice in New York (license number 62031272) 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 1295977973.

Contact Information

Yan Yusupov, PT
97-35 63 Drive,
Rego Park, NY 11374-2229
(718) 459-2771
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameYan Yusupov
GenderMale
SpecialityPhysical Therapist
Location97-35 63 Drive, Rego Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295977973
  • Provider Enumeration Date: 03/27/2009
  • Last Update Date: 09/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6305991001
  • Enrollment ID: I20090902000002

Medical Identifiers

Medical identifiers for Yan Yusupov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295977973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 62031272 (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. Yan Yusupov allows following entities to bill medicare on his behalf.
Provider NameAhava Medical And Rehabilitation Center, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184878274
PECOS PAC ID: 1557416997
Enrollment ID: O20090908000443
Provider NameElmont Rehab Pt Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417258088
PECOS PAC ID: 8123208865
Enrollment ID: O20110211000707
Provider NamePro Form Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740621697
PECOS PAC ID: 0648404137
Enrollment ID: O20131017000030
Provider NameCore Physical Therapy Services Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1184269755
PECOS PAC ID: 4486087442
Enrollment ID: O20191204002750
Provider NameLebgutt Medical Of Brooklyn Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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. Yan Yusupov 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 AddressPractice Location Address
Yan Yusupov, PT
9735 63rd Dr,
Rego Park, NY 11374-2229

Ph: () -		Yan Yusupov, PT
97-35 63 Drive,
Rego Park, NY 11374-2229

Ph: (718) 459-2771

Reviews and Comments


Physical Therapist in Rego Park, NY

Mr. Nino Pompeyo Rocco Altamirano Borja, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6241 Woodhaven Blvd, Rego Park, NY 11374
Phone: 929-607-3271    Fax: 929-607-3267

Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6607 Alderton St, Rego Park, NY 11374
Phone: 718-275-7790    Fax: 718-358-3837
Lichieh Pao, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6541 Wetherole St, Rego Park, NY 11374
Phone: 917-862-7787    
Mikaela Adriano Lagman, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 98120 Queens Blvd Ste 1lm, Rego Park, NY 11374
Phone: 718-897-3333    Fax: 718-997-0342
Rhyan Fermin Florendo,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9748 64th Ave Fl 2, Rego Park, NY 11374
Phone: 510-367-7730    
Stephanie Patricia Siry,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6601 Burns St Apt 6y, Rego Park, NY 11374
Phone: 646-418-9513    
Hae Mee Dai, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9525 Queens Blvd Ste 3d, Rego Park, NY 11374
Phone: 718-925-6212    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.