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

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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 NameNikol Ilyasov
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location2200 Northern Blvd, Greenvale, New York
Accepts Medicare AssignmentsMay 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.
IdentifierTypeStateIssuer
1386367142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Jewish Medical CenterNew hyde park, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore-lij Medical Pc33757015686374

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. Nikol Ilyasov allows following entities to bill medicare on her behalf.
Entity NameComprehensive Medical Services New York 2008, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134454960
PECOS PAC ID: 2163561762
Enrollment ID: O20091119000607
Entity NameNorth Shore-lij Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 AddressPractice 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
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Ariele Bongiovanni,
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Ruth Schreiber, PA-C
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Alex Scheur,
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Jolie Fernandes, PA-C
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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.