Jonathan Maksumov, FNP in Forest Hills, NY - Medicare Nurse Practitioner

Jonathan Maksumov, FNP is a medicare enrolled "Nurse Practitioner - Family" in Forest Hills, New York. His current practice location is 6405 Yellowstone Blvd Apt 101, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 896-3376.

Jonathan Maksumov is licensed to practice in New York (license number 344516) 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 1063877082.

Contact Information

	Jonathan Maksumov, FNP
	6405 Yellowstone Blvd Apt 101, Forest Hills, NY 11375-1534
	(718) 896-3376
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Maksumov
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6405 Yellowstone Blvd Apt 101, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063877082
Provider Enumeration Date: 12/17/2015
Last Update Date: 06/19/2019

Medicare PECOS Information:

PECOS PAC ID: 0446688147
Enrollment ID: I20200311001741

Medical Identifiers

Medical identifiers for Jonathan Maksumov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063877082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	698931 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	344516 (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. Jonathan Maksumov allows following entities to bill medicare on his behalf.

Entity Name	Jamaica Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519

Entity Name	Josef Schenker Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275936932 PECOS PAC ID: 8022335330 Enrollment ID: O20150326000162

Entity Name	Mission Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750898565 PECOS PAC ID: 2365705696 Enrollment ID: O20180418002058

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. Jonathan Maksumov 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
Jonathan Maksumov, FNP 9932 65th Ave, Rego Park, NY 11374-3653 Ph: (917) 497-2461	Jonathan Maksumov, FNP 6405 Yellowstone Blvd Apt 101, Forest Hills, NY 11375-1534 Ph: (718) 896-3376

Reviews and Comments

Nurse Practitioner Nurses in Forest Hills, NY

Ms. Maxine L Brooks, CNM, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11247 Queens Blvd, Suite 102, Forest Hills, NY 11375 Phone: 718-263-2986 Fax: 718-544-6475
Arkadiy Abraham Murdakhayev, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6625 103rd St Apt 6g, Forest Hills, NY 11375 Phone: 646-387-5808
May Jean Cheung, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Yellowstone Blvd, Forest Hills, NY 11375 Phone: 646-379-5556
Mrs. Omolara A Olaniyi, PHD, FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11156 76th Dr, Forest Hills, NY 11375 Phone: 347-356-4434 Fax: 718-544-0972
Diksha Madaan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Ave, Forest Hills, NY 11375 Phone: 516-234-8471
Ms. Adebola Osewa, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4316
Ms. Donna L Kearns, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 212-830-1815 Fax: 212-459-3086

Jonathan Maksumov, FNP - Medicare Nurse Practitioner in Forest Hills, NY