Farhang F Ebrahimi, MD in Staten Island, NY - Medicare Internal Medicine

Farhang F Ebrahimi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Staten Island, New York. His current practice location is 1550 Richmond Ave, Suite 205, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 982-7800.

Farhang F Ebrahimi is licensed to practice in New York (license number 209072) 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 1104937796.

Contact Information

	Farhang F Ebrahimi, MD
	1550 Richmond Ave, Suite 205, Staten Island, NY 10314
	(718) 982-7800
	(718) 982-7722

Map and Direction

Physician's Profile

Full Name	Farhang F Ebrahimi
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	1550 Richmond Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104937796
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/19/2018

Medicare PECOS Information:

PECOS PAC ID: 1951492263
Enrollment ID: I20070801000047

Medical Identifiers

Medical identifiers for Farhang F Ebrahimi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104937796	NPI	-	NPPES
A400123412	Other	NY	MEDICARE
01905724	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	209072 (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. Farhang F Ebrahimi allows following entities to bill medicare on his behalf.

Entity Name	Amboy Medical Practice, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024

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. Farhang F Ebrahimi 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
Farhang F Ebrahimi, MD 97 New Dorp Ln Ste A, Staten Island, NY 10306-2364 Ph: (718) 876-6220	Farhang F Ebrahimi, MD 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 Ph: (718) 982-7800

Reviews and Comments

Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308 Phone: 718-226-7855 Fax: 718-227-5814
Deepak Vadada, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611
Dr. Samantha Maria Lee, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9510 Fax: 718-226-3473
Dr. Jean Chalhoub, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305 Phone: 718-226-8855
Roy Subash Kondapavuluru, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 615-708-2623
Dr. Gustave Stephen Drivas, M.D., Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961
Dr. Beatrice Nogueira, MD Nephrology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6902 Fax: 718-226-6844

Farhang F Ebrahimi, MD - Medicare Internal Medicine in Staten Island, NY