Benjamin Boubli, - Medicare Physician Assistant in Brooklyn, NY

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Benjamin Boubli, is a medicare enrolled "Physician Assistant" in Brooklyn, New York. He went to State University Of New York Downstate Medical Center and graduated in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Community Urgent Care Pc and his current practice location is 5902 18th Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (347) 625-7557.

Benjamin Boubli is licensed to practice in New York (license number 027638) 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 1205593167.

Contact Information

Benjamin Boubli,
5902 18th Ave,
Brooklyn, NY 11204-2201
(347) 625-7557
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Boubli
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location5902 18th Ave, Brooklyn, 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:
  • Benjamin Boubli attended and graduated from State University Of New York Downstate Medical Center in 2021
  NPI Data:
  • NPI Number: 1205593167
  • Provider Enumeration Date: 11/25/2021
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628444163
  • Enrollment ID: I20221025000392

Medical Identifiers

Medical identifiers for Benjamin Boubli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205593167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 027638 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Urgent Care Pc21636753729

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. Benjamin Boubli allows following entities to bill medicare on his behalf.
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameCommunity Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295001576
PECOS PAC ID: 2163675372
Enrollment ID: O20200505001129
Entity NameW Medical LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831968676
PECOS PAC ID: 2466896063
Enrollment ID: O20240222002457

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. Benjamin Boubli 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
Benjamin Boubli,
670 Hawthorne St,
Brooklyn, NY 11203-1804

Ph: Not Available		Benjamin Boubli,
5902 18th Ave,
Brooklyn, NY 11204-2201

Ph: (347) 625-7557

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.

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.