Dmitriy Yusupov, - Medicare Physician Assistant in Long Island City, NY

Dmitriy Yusupov, is a medicare enrolled "Physician Assistant - Medical" in Long Island City, New York. His current practice location is 2510 30th Ave, Mount Sinai Hospital Of Queens, Long Island City, New York. You can reach out to his office (for appointments etc.) via phone at (718) 932-1000.

Dmitriy Yusupov is licensed to practice in New York (license number 012020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144413741.

Contact Information

Dmitriy Yusupov,
2510 30th Ave, Mount Sinai Hospital Of Queens,
Long Island City, NY 11102-2448
(718) 932-1000
Not Available



Provider's Profile

Full NameDmitriy Yusupov
GenderMale
SpecialityPhysician Assistant - Medical
Location2510 30th Ave, Long Island City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144413741
  • Provider Enumeration Date: 08/27/2007
  • Last Update Date: 08/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2567558166
  • Enrollment ID: I20071012000023

Medical Identifiers

Medical identifiers for Dmitriy Yusupov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144413741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 012020 (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. Dmitriy Yusupov 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
Dmitriy Yusupov,
2510 30th Ave,
Long Island City, NY 11102-2448

Ph: (718) 932-1000
Dmitriy Yusupov,
2510 30th Ave, Mount Sinai Hospital Of Queens,
Long Island City, NY 11102-2448

Ph: (718) 932-1000

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Physician Assistant Nurses in Long Island City, NY

Asif Murshed Chowdhury, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2510 30th Ave, Long Island City, NY 11102
Phone: 718-932-1000    
Raikija Allen, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1027 46th Ave Fl 3, Long Island City, NY 11101
Phone: 212-285-3700    
Nia Grant, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2510 30th Ave, Long Island City, NY 11102
Phone: 718-932-1000    
Lananh Lehoang,
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Medicare: Not Enrolled in Medicare
Practice Location: 2218 Jackson Ave, Long Island City, NY 11101
Phone: 612-800-1851    
Amani Choudhury,
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Medicare: Accepting Medicare Assignments
Practice Location: 2510 30th Ave, Long Island City, NY 11102
Phone: 718-932-1000    
Mr. Mark Steven Kaiser, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: Citigroup Health Services, 1 Court Square, 9th Floor, Zone 7, Long Island City, NY 11120
Phone: 718-248-2780    
Jennifer Storey, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2510 30th Ave, Long Island City, NY 11102
Phone: 718-267-4285    

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