Mr Ivan Borissow, PA-C - Medicare Physician Assistant in Baltimore, MD

Mr Ivan Borissow, PA-C is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. His current practice location is 5601 Loch Raven Blvd, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 444-8000.

Mr Ivan Borissow is licensed to practice in Maryland (license number C04854) 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 1194080374.

Contact Information

Mr Ivan Borissow, PA-C
5601 Loch Raven Blvd,
Baltimore, MD 21239-2945
(443) 444-8000
Not Available

Map and Direction




Provider's Profile

Full NameMr Ivan Borissow
GenderMale
SpecialityPhysician Assistant
Location5601 Loch Raven Blvd, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194080374
  • Provider Enumeration Date: 07/12/2012
  • Last Update Date: 05/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709038904
  • Enrollment ID: I20131209000732

Medical Identifiers

Medical identifiers for Mr Ivan Borissow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194080374NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C04854 (Maryland)Primary

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. Mr Ivan Borissow 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
Mr Ivan Borissow, PA-C
5601 Loch Raven Blvd,
Baltimore, MD 21239-2945

Ph: (443) 444-8000
Mr Ivan Borissow, PA-C
5601 Loch Raven Blvd,
Baltimore, MD 21239-2945

Ph: (443) 444-8000

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.

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