Carly Gennaro, DO is a medicare enrolled "Family Medicine" physician in Wyandanch, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sun River Health Inc. and her current practice location is
1556 Straight Path, Wyandanch, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 214-8020.
Carly Gennaro is licensed to practice in New York (license number 414019797) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396195343.
Physician's Profile
| Full Name | Carly Gennaro |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 1556 Straight Path, Wyandanch, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carly Gennaro attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2016
NPI Data:
- NPI Number: 1396195343
- Provider Enumeration Date: 06/20/2016
- Last Update Date: 06/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719223940
- Enrollment ID: I20200219002043
Medical Identifiers
Medical identifiers for Carly Gennaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396195343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 414019797 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sun River Health Inc. | 6608783568 | 157 |
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. Carly Gennaro allows following entities to bill medicare on her behalf.
| Entity Name | Sun River Health Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375 |
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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. Carly Gennaro 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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Carly Gennaro, DO
1000 Montauk Hwy,
West Islip, NY 11795-4927
Ph: () - | Carly Gennaro, DO
1556 Straight Path,
Wyandanch, NY 11798-3213
Ph: (516) 214-8020 |
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