Dr Leila Catherine Thanasoulis, MD - Medicare General Practice in New York, NY

Dr Leila Catherine Thanasoulis, MD is a medicare enrolled "General Practice" physician in New York, New York. Her current practice location is 120 W 58th St, Suite 8a, New York, New York. You can reach out to her office (for appointments etc.) via phone at (917) 415-1040.

Dr Leila Catherine Thanasoulis is licensed to practice in New York (license number 242952-1) 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 1740425537.

Contact Information

Dr Leila Catherine Thanasoulis, MD
120 W 58th St, Suite 8a,
New York, NY 10019-2141
(917) 415-1040
Not Available



Physician's Profile

Full NameDr Leila Catherine Thanasoulis
GenderFemale
SpecialityGeneral Practice
Location120 W 58th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740425537
  • Provider Enumeration Date: 12/08/2008
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143384289
  • Enrollment ID: I20090204000218

Medical Identifiers

Medical identifiers for Dr Leila Catherine Thanasoulis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740425537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 242952-1 (New York)Secondary
208600000XSurgery 242952-1 (New York)Secondary
207RX0202XInternal Medicine - Medical Oncology 242952-1 (New York)Secondary
208D00000XGeneral Practice 242952-1 (New York)Primary

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. Dr Leila Catherine Thanasoulis allows following entities to bill medicare on her behalf.
Entity NameNew York Community Hospital Of Brooklyn Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205840055
PECOS PAC ID: 6901798016
Enrollment ID: O20040325000544

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Entity NameKingsbrook Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104112838
PECOS PAC ID: 8729252028
Enrollment ID: O20111123000332

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Entity NameNew York Community Hospital Of Brooklyn Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1508377334
PECOS PAC ID: 6901798016
Enrollment ID: O20180417000319

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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. Dr Leila Catherine Thanasoulis 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
Dr Leila Catherine Thanasoulis, MD
120 W 58th St, 8a,
New York, NY 10019-2141

Ph: (917) 415-1040
Dr Leila Catherine Thanasoulis, MD
120 W 58th St, Suite 8a,
New York, NY 10019-2141

Ph: (917) 415-1040

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