Ny Med Of Brooklyn Llc is a medicare enrolled "Orthopaedic Surgery" provider in Brooklyn, New York. Their current practice location is
765 Nostrand Ave, Brooklyn, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 263-3500.
Ny Med Of Brooklyn Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ny Med Of Brooklyn Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457011140.
Healthcare Provider's Profile
| Full Name | Ny Med Of Brooklyn Llc |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 765 Nostrand Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457011140
- Provider Enumeration Date: 12/22/2021
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345621561
- Enrollment ID: O20220720000534
Medical Identifiers
Medical identifiers for Ny Med Of Brooklyn Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457011140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ny Med Of Brooklyn Llc acts as a billing entity for following providers:
| Provider Name | Howard Baum |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1063529287
PECOS PAC ID: 4981626579
Enrollment ID: I20051223000012 |
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| Provider Name | Chanelle Gordon |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1114462397
PECOS PAC ID: 0547796096
Enrollment ID: I20241209001033 |
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| Provider Name | Latasha Patrina Shepherd |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1003671876
PECOS PAC ID: 0840718524
Enrollment ID: I20250516000604 |
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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. Ny Med Of Brooklyn Llc 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 Address | Practice Location Address |
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Ny Med Of Brooklyn Llc
Po Box 750250,
Forest Hills, NY 11375-0250
Ph: (718) 263-3500 | Ny Med Of Brooklyn Llc
765 Nostrand Ave,
Brooklyn, NY 11216
Ph: (718) 263-3500 |
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