Igor Lizogubenko, PA - Medicare Physician Assistant in Port Jefferson, NY

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Igor Lizogubenko, PA is a medicare enrolled "Physician Assistant" in Port Jefferson, New York. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice John T Mather Memorial Hospital and his current practice location is 200 Belle Terre Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 474-6000.

Igor Lizogubenko is licensed to practice in New York (license number 008125-1) 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 1033163035.

Contact Information

Igor Lizogubenko, PA
200 Belle Terre Rd,
Port Jefferson, NY 11777-1928
(631) 474-6000
Not Available

Map and Direction




Provider's Profile

Full NameIgor Lizogubenko
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location200 Belle Terre Rd, Port Jefferson, 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:
  • Igor Lizogubenko graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1033163035
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 01/16/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7911892559
  • Enrollment ID: I20040220000888

Medical Identifiers

Medical identifiers for Igor Lizogubenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033163035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 008125-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John T Mather Memorial Hospital1254237753176

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. Igor Lizogubenko allows following entities to bill medicare on his behalf.
Entity NamePort Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912988395
PECOS PAC ID: 1456376177
Enrollment ID: O20051012000370
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467249334
PECOS PAC ID: 1254237753
Enrollment ID: O20250701003602

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. Igor Lizogubenko 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
Igor Lizogubenko, PA
Po Box 826207,
Philadelphia, PA 19182-6207

Ph: (800) 377-8721		Igor Lizogubenko, PA
200 Belle Terre Rd,
Port Jefferson, NY 11777-1928

Ph: (631) 474-6000

Reviews and Comments


Physician Assistant Nurses in Port Jefferson, NY

Ms. Christie Lee Cotty, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777
Phone: 631-298-4008    
Loretta Didwell,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-474-4667
Julia Elizabeth Fitzpatrick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-306-7949
Casey Ward, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    
Mr. Matthew Delph, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Francis Richard Sicari, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    
Charles Mellor, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-686-7653

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.