Dr Iryna Ilyasova, MD in Port Jefferson, NY - Medicare Internal Medicine

Dr Iryna Ilyasova, MD is a medicare enrolled "Hospitalist" physician in Port Jefferson, New York. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice John T Mather Memorial Hospital and her current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 473-1320.

Dr Iryna Ilyasova is licensed to practice in New York (license number 311503) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073005484.

Contact Information

	Dr Iryna Ilyasova, MD
	75 N Country Rd, Port Jefferson, NY 11777-2119
	(631) 473-1320
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Iryna Ilyasova
Gender	Female
Speciality	Internal Medicine
Experience	18 Years
Location	75 N Country Rd, Port Jefferson, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Iryna Ilyasova graduated from medical school in 2008

NPI Data:

NPI Number: 1073005484
Provider Enumeration Date: 05/31/2018
Last Update Date: 11/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1355678269
Enrollment ID: I20210812002017

Medical Identifiers

Medical identifiers for Dr Iryna Ilyasova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073005484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	311503 (New York)	Secondary
208M00000X	Hospitalist	311503 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
John T Mather Memorial Hosp T C U	Port jefferson, NY	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John T Mather Memorial Hospital	1254237753	150

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 Iryna Ilyasova allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376642371 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

Entity Name	Harbor View Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861636219 PECOS PAC ID: 5092865873 Enrollment ID: O20090617000230

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 Iryna Ilyasova 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 Iryna Ilyasova, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320	Dr Iryna Ilyasova, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320

Reviews and Comments

Hospitalist Doctors in Port Jefferson, NY

Raymond Wong, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654
Dr. Thomas Overholt, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654 Fax: 631-686-7653
Dr. Asim Elahi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Dr. Christopher Rene Tanchez, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 718-616-3000
Javeria Nasim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7972
Shaheer Ali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654
Obiageli Anyaogu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320

Dr Iryna Ilyasova, MD - Medicare Internal Medicine in Port Jefferson, NY