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

Nikol Ilyasov, PA-C is a medicare enrolled "Physician Assistant" in Greenvale, New York. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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
Location	2200 Northern Blvd, Greenvale, 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: 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

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

Samantha Lines, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Glen Cove Rd Ste 1, Greenvale, NY 11548 Phone: 516-469-1965
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: Accepting Medicare Assignments Practice Location: 2200 Northern Blvd Ste 211, Greenvale, NY 11548 Phone: 516-627-1155
Jennifer Liu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Northern Blvd Ste 115, Greenvale, NY 11548 Phone: 516-325-7310

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