Angella I Mashkabova, PA - Medicare Physician Assistant in New Hyde Park, NY

Angella I Mashkabova, PA is a medicare enrolled "Physician Assistant" physician in New Hyde Park, New York. Her current practice location is 1985 Marcus Ave # 100, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (855) 201-4988.

Angella I Mashkabova is licensed to practice in New York (license number 019925) 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 1316461916.

Contact Information

Angella I Mashkabova, PA
1985 Marcus Ave # 100,
New Hyde Park, NY 11042-2008
(855) 201-4988
Not Available



Physician's Profile

Full NameAngella I Mashkabova
GenderFemale
SpecialityPhysician Assistant
Location1985 Marcus Ave # 100, New Hyde Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316461916
  • Provider Enumeration Date: 07/26/2017
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608288816
  • Enrollment ID: I20201211002385

Medical Identifiers

Medical identifiers for Angella I Mashkabova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316461916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 019925-1 (New York)Secondary
363A00000XPhysician Assistant 019925 (New York)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. Angella I Mashkabova 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
Angella I Mashkabova, PA
6334 Booth St,
Rego Park, NY 11374-2032

Ph: (917) 340-7846
Angella I Mashkabova, PA
1985 Marcus Ave # 100,
New Hyde Park, NY 11042-2008

Ph: (855) 201-4988

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