Dmitriy Fuzaylov, MD in Rego Park, NY - Medicare Pain Management

Dmitriy Fuzaylov, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Rego Park, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2005 and has 20 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Innovative Rehabilitation Consultant Medical Pc and his current practice location is 9701 66th Ave, Rego Park, New York. You can reach out to his office (for appointments etc.) via phone at (718) 275-5200.

Dmitriy Fuzaylov is licensed to practice in New York (license number 241269) 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 1093974040.

Contact Information

	Dmitriy Fuzaylov, MD
	9701 66th Ave, Rego Park, NY 11374-4245
	(718) 275-5200
	(718) 275-6864

Map and Direction

Physician's Profile

Full Name	Dmitriy Fuzaylov
Gender	Male
Speciality	Pain Management
Experience	20 Years
Location	9701 66th Ave, Rego Park, 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:

Dmitriy Fuzaylov attended and graduated from Icahn School Of Medicine At Mount Sinai in 2005

NPI Data:

NPI Number: 1093974040
Provider Enumeration Date: 06/05/2008
Last Update Date: 10/17/2014

Medicare PECOS Information:

PECOS PAC ID: 6406980572
Enrollment ID: I20100812000134

Medical Identifiers

Medical identifiers for Dmitriy Fuzaylov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093974040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	241269 (New York)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	MD436995 (Pennsylvania)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	241269 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New York University Langone Medical Center	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Rehabilitation Consultant Medical Pc	9739350695	4

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. Dmitriy Fuzaylov allows following entities to bill medicare on his behalf.

Entity Name	Innovative Rehabilitation Consultant Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770880403 PECOS PAC ID: 9739350695 Enrollment ID: O20110926000421

Entity Name	Innovation Spine Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669787180 PECOS PAC ID: 4183940679 Enrollment ID: O20150227000236

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. Dmitriy Fuzaylov 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
Dmitriy Fuzaylov, MD 9701 66th Ave, Rego Park, NY 11374-4245 Ph: (718) 275-5200	Dmitriy Fuzaylov, MD 9701 66th Ave, Rego Park, NY 11374-4245 Ph: (718) 275-5200

Reviews and Comments

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Naomi Sharon Eisen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9745 Queens Blvd, Rego Park, NY 11374 Phone: 516-456-0356

Dmitriy Fuzaylov, MD - Medicare Pain Management in Rego Park, NY