Dr Roosevelt Boursiquot, MD, MPHIL - Medicare Hospitalist in Brooklyn, NY

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Dr Roosevelt Boursiquot, MD, MPHIL is a medicare enrolled "Internal Medicine" physician in Brooklyn, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Icahn School Of Medicine At Mount Sinai, North Shore - Lij Medical Pc and his current practice location is 470 Clarkson Ave, Msc#59, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 270-7207.

Dr Roosevelt Boursiquot is licensed to practice in New York (license number 287069) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013399872.

Contact Information

Dr Roosevelt Boursiquot, MD, MPHIL
470 Clarkson Ave, Msc#59,
Brooklyn, NY 11203
(718) 270-7207
Not Available

Map and Direction




Physician's Profile

Full NameDr Roosevelt Boursiquot
GenderMale
SpecialityHospitalist
Experience9 Years
Location470 Clarkson Ave, Brooklyn, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Roosevelt Boursiquot graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1013399872
  • Provider Enumeration Date: 06/29/2015
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406101104
  • Enrollment ID: I20180621000183

Medical Identifiers

Medical identifiers for Dr Roosevelt Boursiquot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013399872NPI-NPPES
05234079MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 287069 (New York)Secondary
207R00000XInternal Medicine 287069 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Staten Island University HospitalStaten island, NYHospital
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702339
North Shore - Lij Medical Pc33757015685099

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 Roosevelt Boursiquot allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Of Brooklyn, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366506271
PECOS PAC ID: 0749192284
Enrollment ID: O20040401000120
Entity NameState Of New York Comptrollers Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316960289
PECOS PAC ID: 0840101770
Enrollment ID: O20071024000040
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124550280
PECOS PAC ID: 2264691070
Enrollment ID: O20121227000330
Entity NameUniversity Hospital Of Brooklyn Suny Downstate Health Sciences Univers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396318986
PECOS PAC ID: 7113318122
Enrollment ID: O20220207001135
Entity NameRb Medical Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962157644
PECOS PAC ID: 0042605719
Enrollment ID: O20220315002371

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 Roosevelt Boursiquot 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
Dr Roosevelt Boursiquot, MD, MPHIL
121 Dekalb Ave,
Brooklyn, NY 11201-5425

Ph: (718) 250-6946		Dr Roosevelt Boursiquot, MD, MPHIL
470 Clarkson Ave, Msc#59,
Brooklyn, NY 11203

Ph: (718) 270-7207

Reviews and Comments


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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.