Shirin Yusubov, MD in Grafton, WI - Medicare Anesthesiology

Shirin Yusubov, MD is a medicare enrolled "Anesthesiology" physician in Grafton, Wisconsin. His current practice location is 975 Port Washington Rd, Grafton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 329-1000.

Shirin Yusubov is licensed to practice in Wisconsin (license number 84720) 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 1396360848.

Contact Information

	Shirin Yusubov, MD
	975 Port Washington Rd, Grafton, WI 53024-9201
	(262) 329-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shirin Yusubov
Gender	Male
Speciality	Anesthesiology
Location	975 Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396360848
Provider Enumeration Date: 06/10/2020
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3577989987
Enrollment ID: I20241107003829

Medical Identifiers

Medical identifiers for Shirin Yusubov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396360848	NPI	-	NPPES
100291328	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301507357 (Michigan)	Secondary
207L00000X	Anesthesiology	84720 (Wisconsin)	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. Shirin Yusubov allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Shirin Yusubov 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
Shirin Yusubov, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Shirin Yusubov, MD 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000

Reviews and Comments

Anesthesiology Doctors in Grafton, WI

Taylor L Gatlin, Anesthesiology Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001
Man Dick Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2135 Fax: 262-329-3151
Dr. Ali A Sadeghi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 414-219-2000
Dr. Robert J Schlosser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001
Dr. Andrew Edward Nicoli, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Jeremy M Groth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001
Jennifer W Niedfeldt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000

Shirin Yusubov, MD - Medicare Anesthesiology in Grafton, WI