Nissan Shliselberg, MD - Medicare Psychiatry in Kew Gardens, NY

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Nissan Shliselberg, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kew Gardens, New York. He graduated from medical school in 1982 and has 44 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mental Health Providers Of Western Queens, Inc. and his current practice location is 12510 Queens Blvd Apt 915, Kew Gardens, New York. You can reach out to his office (for appointments etc.) via phone at (917) 841-6034.

Nissan Shliselberg is licensed to practice in New York (license number 163429-2) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720174212.

Contact Information

Nissan Shliselberg, MD
12510 Queens Blvd Apt 915,
Kew Gardens, NY 11415-1527
(917) 841-6034
Not Available

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Physician's Profile

Full NameNissan Shliselberg
GenderMale
SpecialityPsychiatry
Experience44 Years
Location12510 Queens Blvd Apt 915, Kew Gardens, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nissan Shliselberg graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1720174212
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 01/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446206585
  • Enrollment ID: I20050322001072

Medical Identifiers

Medical identifiers for Nissan Shliselberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720174212NPI-NPPES
163429-A37OtherNYHEALTHFIRST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 163429-2 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mental Health Providers Of Western Queens, Inc.21634031484

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. Nissan Shliselberg allows following entities to bill medicare on his behalf.
Entity NameArista Center For Psychotherapy Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346317468
PECOS PAC ID: 1658364054
Enrollment ID: O20040402001482
Entity NameMental Health Providers Of Western Queens, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477699791
PECOS PAC ID: 2163403148
Enrollment ID: O20040526000446
Entity NameCommunity Assistance Resources & Extended Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396049987
PECOS PAC ID: 9931321320
Enrollment ID: O20141120000352

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. Nissan Shliselberg 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
Nissan Shliselberg, MD
12510 Queens Blvd Apt 915,
Kew Gardens, NY 11415-1527

Ph: (917) 841-6034		Nissan Shliselberg, MD
12510 Queens Blvd Apt 915,
Kew Gardens, NY 11415-1527

Ph: (917) 841-6034

Reviews and Comments


Psychiatry & Neurology Doctors in Kew Gardens, NY

Dr. Hagop Gorgissian, MD
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 11929 80th Rd, Kew Gardens, NY 11415
Phone: 917-733-3283    
Dr. Noah David Freedman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8300 Talbot St Apt 2b, Kew Gardens, NY 11415
Phone: 718-440-7867    Fax: 505-930-5398
Dr. Mark P Finger, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 11929 80th Rd, Kew Gardens, NY 11415
Phone: 718-897-8595    

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.