Larisa Malisova, DO - Medicare Internal Medicine in Staten Island, NY

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Larisa Malisova, DO is a medicare enrolled "General Practice" physician in Staten Island, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2002 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Physician Affiliate Group Of New York Pc and her current practice location is 420 Lyndale Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 967-5630.

Larisa Malisova is licensed to practice in New York (license number 234484) 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 1861448896.

Contact Information

Larisa Malisova, DO
420 Lyndale Ave,
Staten Island, NY 10312-6131
(718) 967-5630
Not Available

Map and Direction




Physician's Profile

Full NameLarisa Malisova
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location420 Lyndale Ave, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larisa Malisova attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2002
  NPI Data:
  • NPI Number: 1861448896
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 05/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4284637182
  • Enrollment ID: I20060815000188

Medical Identifiers

Medical identifiers for Larisa Malisova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861448896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 234484 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nyc Health + Hospitals/coney IslandBrooklyn, NYHospital
Staten Island Care CenterStaten island, NYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Affiliate Group Of New York Pc46880988331044

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. Larisa Malisova allows following entities to bill medicare on her behalf.
Entity NameIsland Internist Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073669479
PECOS PAC ID: 8628097532
Enrollment ID: O20051119000014
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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. Larisa Malisova 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
Larisa Malisova, DO
1270 E 19th St, Apt. 6 M,
Brooklyn, NY 11230-5457

Ph: (718) 338-0164		Larisa Malisova, DO
420 Lyndale Ave,
Staten Island, NY 10312-6131

Ph: (718) 967-5630

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.

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