Svetlana Prokhorova, MD - Medicare Pediatrics in Rego Park, NY

Svetlana Prokhorova, MD is a medicare enrolled "Pediatrics" physician in Rego Park, New York. Her current practice location is 9817 Queens Boulevard, Ll2, Rego Park, New York. You can reach out to her office (for appointments etc.) via phone at (718) 275-5600.

Svetlana Prokhorova is licensed to practice in New York (license number 223288) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396754107.

Contact Information

Svetlana Prokhorova, MD
9817 Queens Boulevard, Ll2,
Rego Park, NY 11374-3336
(718) 275-5600
(718) 275-5608

Map and Direction




Physician's Profile

Full NameSvetlana Prokhorova
GenderFemale
SpecialityPediatrics
Location9817 Queens Boulevard, Rego Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396754107
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 06/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5092983627
  • Enrollment ID: I20110726000546

Medical Identifiers

Medical identifiers for Svetlana Prokhorova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396754107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 223288 (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. Svetlana Prokhorova allows following entities to bill medicare on her behalf.
Entity NameProkhorov's Pediatrics And Child Neurology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104132778
PECOS PAC ID: 3274701891
Enrollment ID: O20110726000051

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. Svetlana Prokhorova 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
Svetlana Prokhorova, MD
9817 Queens Boulevard, Ll2,
Rego Park, NY 11374-3336

Ph: (718) 275-5600
Svetlana Prokhorova, MD
9817 Queens Boulevard, Ll2,
Rego Park, NY 11374-3336

Ph: (718) 275-5600

Reviews and Comments


Pediatrics Doctors in Rego Park, NY

Daniel Umali, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 8502 66th Rd, Rego Park, NY 11374
Phone: 718-544-7770    
Mrs. Xin Chen, MD
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Medicare: Medicare Enrolled
Practice Location: 9229 Queens Blvd, Rego Park, NY 11374
Phone: 718-575-1992    Fax: 917-832-6697
Dr. Thomas Bloom, M.D.
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Medicare: Medicare Enrolled
Practice Location: 6254 97th Pl, Suite 2b, Rego Park, NY 11374
Phone: 718-595-1166    Fax: 718-595-1167
Dr. Sandhya Jhaveri, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9525 Queens Blvd, Suite 520, Rego Park, NY 11374
Phone: 718-896-4399    
Dr. Jose Escueta Quiwa, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8502 66th Rd, Rego Park, NY 11374
Phone: 718-426-5202    Fax: 718-897-2874
Sammir Rosembett Perez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6608 Austin St Apt 3g, Rego Park, NY 11374
Phone: 443-624-6702    

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.