Samir Derisavifard, MD is a medicare enrolled "Urology - Female Pelvic Medicine And Reconstructive Surgery" physician in Rego Park, New York. His current practice location is
9225 Queens Blvd Fl 2, Rego Park, New York. You can reach out to his office (for appointments etc.) via phone at
(817) 925-6200.
Samir Derisavifard is licensed to practice in New York (license number 282292-01) 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 1477997690.
Physician's Profile
| Full Name | Samir Derisavifard |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 9225 Queens Blvd Fl 2, Rego Park, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samir Derisavifard attended and graduated from in
NPI Data:
- NPI Number: 1477997690
- Provider Enumeration Date: 04/18/2013
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samir Derisavifard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477997690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | S5157 (Texas) | Secondary |
| 208800000X | Urology | 282292-01 (New York) | Secondary |
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 282292-01 (New York) | Primary |
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. Samir Derisavifard 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 |
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Samir Derisavifard, MD
9225 Queens Blvd Fl 2,
Rego Park, NY 11374
Ph: () - | Samir Derisavifard, MD
9225 Queens Blvd Fl 2,
Rego Park, NY 11374
Ph: (817) 925-6200 |
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