Nikol Ilyasov, PA-C in Greenvale, NY - Medicare Physician Assistant

Nikol Ilyasov, PA-C is a medicare enrolled "Physician Assistant" in Greenvale, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is 2200 Northern Blvd, Greenvale, New York. You can reach out to her office (for appointments etc.) via phone at (877) 896-9301.

Nikol Ilyasov is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1386367142.

Contact Information

	Nikol Ilyasov, PA-C
	2200 Northern Blvd, Greenvale, NY 11548-1219
	(877) 896-9301
	Not Available

Map and Direction

Provider's Profile

Full Name	Nikol Ilyasov
Gender	Female
Speciality	Physician Assistant
Experience	5 Years
Location	2200 Northern Blvd, Greenvale, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nikol Ilyasov graduated from nursing school in 2021

NPI Data:

NPI Number: 1386367142
Provider Enumeration Date: 09/26/2022
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6901277862
Enrollment ID: I20230201000835

Medical Identifiers

Medical identifiers for Nikol Ilyasov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386367142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Long Island Jewish Medical Center	New hyde park, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore-lij Medical Pc	3375701568	6327

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. Nikol Ilyasov 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
Nikol Ilyasov, PA-C 2200 Northern Boulvard, Suite 150, Greenvale, NY 11548 Ph: (877) 896-9301	Nikol Ilyasov, PA-C 2200 Northern Blvd, Greenvale, NY 11548-1219 Ph: (877) 896-9301

Reviews and Comments

Physician Assistant Nurses in Greenvale, NY

Nicole Furman, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Northern Blvd, Greenvale, NY 11548 Phone: 516-686-3939
Samantha Lines, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Glen Cove Rd Ste 1, Greenvale, NY 11548 Phone: 516-469-1965
Ariele Bongiovanni, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Northern Blvd Ste 211, Greenvale, NY 11548 Phone: 561-627-1155
Nickie Douroudakis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Northern Blvd Ste 121, Greenvale, NY 11548 Phone: 516-705-1044
Ruth Schreiber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Northern Blvd Ste 211, Greenvale, NY 11548 Phone: 516-627-1155
Rachel Khaneyan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Northern Blvd, Greenvale, NY 11548 Phone: 516-686-3939

Nikol Ilyasov, PA-C - Medicare Physician Assistant in Greenvale, NY