Dr Gabriel Shakarov, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. His current practice location is
550 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 263-5506.
Dr Gabriel Shakarov is licensed to practice in New York (license number ) 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 1215556469.
Physician's Profile
Full Name | Dr Gabriel Shakarov |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 550 1st Ave, New York, 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. |
NPI Data:
- NPI Number: 1215556469
- Provider Enumeration Date: 04/08/2020
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395147342
- Enrollment ID: I20240807001440
Medical Identifiers
Medical identifiers for Dr Gabriel Shakarov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215556469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 80656 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (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. Dr Gabriel Shakarov allows following entities to bill medicare on his behalf.
Entity Name | Weill Medical College Of Cornell |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356655682 PECOS PAC ID: 6800709023 Enrollment ID: O20101108000279 |
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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. Dr Gabriel Shakarov 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 |
Dr Gabriel Shakarov, MD 8210 217th St, Queens Village, NY 11427-1414 Ph: () - | Dr Gabriel Shakarov, MD 550 1st Ave, New York, NY 10016-6402 Ph: (212) 263-5506 |
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