Look up the most recent NPI and PECOS records

Vera Tarasova

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Vera Tarasova is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1073014007
Provider Type
Individual
Full Name
Tarasova, Vera
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
2/25/2018
Last Updated
1/11/2021

Contact Information

Practice Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Mailing Location

2252 E 26th St, Brooklyn, NY 11229-4942

(212) 920-6015

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 021951 New York
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Vera Tarasova

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shapsay, Milana

Buda, Gianna

Lazaro, Lisa J.

Relucio, Samantha

Chen, Yan

Roshan Shad, Esther

Rana, Amrinder S

Ulmer, Emily Ann

Murillo, Andrew J

Krepshaw, Nicholas Brady