Larissa Yossefi, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Roslyn Heights, New York. Her current practice location is
195 Parkside Dr, Roslyn Heights, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 653-9555.
Larissa Yossefi is licensed to practice in New York (license number F402174) 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 1619314135.
Healthcare Provider's Profile
| Full Name | Larissa Yossefi |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 195 Parkside Dr, Roslyn Heights, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619314135
- Provider Enumeration Date: 05/23/2013
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991071292
- Enrollment ID: I20171031001622
Medical Identifiers
Medical identifiers for Larissa Yossefi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619314135 | NPI | - | NPPES |
| 1619314135 | Other | | NPI |
| 03008151 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 606294 (New York) | Secondary |
| 163W00000X | Registered Nurse | 606294 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402174 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402174 (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. Larissa Yossefi allows following entities to bill medicare on her behalf.
| Entity Name | Premier Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760436190
PECOS PAC ID: 1254233158
Enrollment ID: O20040122000144 |
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| Entity Name | Catholic Charities Of The Diocese Of Rockville Centre |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124034558
PECOS PAC ID: 9436137908
Enrollment ID: O20040721000332 |
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| Entity Name | Jay Lawrence Friedman Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881829109
PECOS PAC ID: 3476604844
Enrollment ID: O20090624000544 |
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| Entity Name | South Shore Child Association Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023154507
PECOS PAC ID: 0648550822
Enrollment ID: O20161205001117 |
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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. Larissa Yossefi 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 |
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Larissa Yossefi, NP
195 Parkside Dr,
Roslyn Heights, NY 11577-2211
Ph: (347) 653-9555 | Larissa Yossefi, NP
195 Parkside Dr,
Roslyn Heights, NY 11577-2211
Ph: (347) 653-9555 |
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