Mubushar Ikram Raza, in Brentwood, NY - Medicare Nurse Practitioner

Mubushar Ikram Raza, is a medicare enrolled "Nurse Practitioner - Adult Health" in Brentwood, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 55 2nd Ave Unit 2, Brentwood, New York. You can reach out to his office (for appointments etc.) via phone at (631) 983-3237.

Mubushar Ikram Raza is licensed to practice in New York (license number 307814) 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 1588017164.

Contact Information

	Mubushar Ikram Raza,
	55 2nd Ave Unit 2, Brentwood, NY 11717-4665
	(631) 983-3237
	(631) 961-8775

Map and Direction

Provider's Profile

Full Name	Mubushar Ikram Raza
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	55 2nd Ave Unit 2, Brentwood, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mubushar Ikram Raza attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2016

NPI Data:

NPI Number: 1588017164
Provider Enumeration Date: 07/19/2016
Last Update Date: 01/23/2026

Medicare PECOS Information:

PECOS PAC ID: 0648548586
Enrollment ID: I20170616001319

Medical Identifiers

Medical identifiers for Mubushar Ikram Raza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588017164	NPI	-	NPPES
307814	Other	NY	307814

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	307814 (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. Mubushar Ikram Raza allows following entities to bill medicare on his behalf.

Entity Name	East Shore Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598775645 PECOS PAC ID: 1355443698 Enrollment ID: O20070216000516

Entity Name	Alexios Apazidis Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245607126 PECOS PAC ID: 3375840036 Enrollment ID: O20160323000983

Entity Name	Station Care Np In Adult Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801605761 PECOS PAC ID: 3577083419 Enrollment ID: O20250224000571

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. Mubushar Ikram Raza 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
Mubushar Ikram Raza, 55 2nd Ave Unit 2, Brentwood, NY 11717-4665 Ph: (631) 983-3273	Mubushar Ikram Raza, 55 2nd Ave Unit 2, Brentwood, NY 11717-4665 Ph: (631) 983-3237

Reviews and Comments

Nurse Practitioner Nurses in Brentwood, NY

Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301
Mohammad Abraham Chaudry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975
Rahul Subramanian Iyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975
Jennifer Vasquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548

Mubushar Ikram Raza, - Medicare Nurse Practitioner in Brentwood, NY