Sitora N Mirsoatova, NP - Medicare Nurse Practitioner in New York, NY

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Sitora N Mirsoatova, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1111 Amsterdam Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 523-4000.

Sitora N Mirsoatova is licensed to practice in New Jersey (license number 26NJ01480600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881059178.

Contact Information

Sitora N Mirsoatova, NP
1111 Amsterdam Ave,
New York, NY 10025-1716
(212) 523-4000
Not Available

Map and Direction




Provider's Profile

Full NameSitora N Mirsoatova
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1111 Amsterdam Ave, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sitora N Mirsoatova graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1881059178
  • Provider Enumeration Date: 12/31/2015
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032512132
  • Enrollment ID: I20240419000795

Medical Identifiers

Medical identifiers for Sitora N Mirsoatova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881059178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01480600 (New Jersey)Primary
363LA2100XNurse Practitioner - Acute Care F431844 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F404736 (New York)Secondary

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. Sitora N Mirsoatova allows following entities to bill medicare on her behalf.
Entity NameCounseling Center At Clark Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245637578
PECOS PAC ID: 3971990144
Enrollment ID: O20220419000848
Entity NameCounseling Center At Fair Lawn, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407276975
PECOS PAC ID: 5496127086
Enrollment ID: O20230208000502
Entity NameCounseling Center At Toms River Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326442971
PECOS PAC ID: 5294107785
Enrollment ID: O20230209001442
Entity NameCounseling Center At Freehold Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013269216
PECOS PAC ID: 8820460363
Enrollment ID: O20230210000601
Entity NameLife Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578380630
PECOS PAC ID: 2961923594
Enrollment ID: O20250311002814

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. Sitora N Mirsoatova 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
Sitora N Mirsoatova, NP
1111 Amsterdam Ave,
New York, NY 10025-1716

Ph: (646) 244-6163		Sitora N Mirsoatova, NP
1111 Amsterdam Ave,
New York, NY 10025-1716

Ph: (212) 523-4000

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.

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.