Mrs Adelina Fazilov, FNP - Medicare Family Medicine in New Hyde Park, NY

Mrs Adelina Fazilov, FNP is a medicare enrolled "Family Medicine" physician in New Hyde Park, New York. Her current practice location is 450 Lakeville Rd, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (516) 487-9454.

Mrs Adelina Fazilov is licensed to practice in New York (license number F350177-01) 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 1144937517.

Contact Information

Mrs Adelina Fazilov, FNP
450 Lakeville Rd,
New Hyde Park, NY 11042-1118
(516) 487-9454
(516) 487-2745



Physician's Profile

Full NameMrs Adelina Fazilov
GenderFemale
SpecialityFamily Medicine
Location450 Lakeville Rd, 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: 1144937517
  • Provider Enumeration Date: 11/03/2022
  • Last Update Date: 11/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668846544
  • Enrollment ID: I20230315002294

Medical Identifiers

Medical identifiers for Mrs Adelina Fazilov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144937517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F350177-01 (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. Mrs Adelina Fazilov allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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› Verified 4 days ago

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. Mrs Adelina Fazilov 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
Mrs Adelina Fazilov, FNP
450 Lakeville Rd, Surgical Oncology,
New Hyde Park, NY 11042

Ph: (516) 487-9454
Mrs Adelina Fazilov, FNP
450 Lakeville Rd,
New Hyde Park, NY 11042-1118

Ph: (516) 487-9454

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Family Medicine Doctors in New Hyde Park, NY

Yelena Pyatov, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 27005 76th Ave, Department Of Pediatrics, New Hyde Park, NY 11040
Phone: 718-470-7700    
Claudine A Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042
Phone: 855-201-4988    
Amber Haq, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Dakota Dr, New Hyde Park, NY 11042
Phone: 516-622-6000    
Boahen Owusu Kwakye, AGNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042
Phone: 855-201-4988    
Martha Arden, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042
Phone: 347-882-1321    
Dr. Anam Sarfaraz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042
Phone: 516-354-1600    Fax: 516-941-4677

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