Dr Andrea Fabiola Avila Pineda, MD - Medicare Ophthalmology in Rochester, NY

Dr Andrea Fabiola Avila Pineda, MD is a medicare enrolled "Ophthalmology" physician in Rochester, New York. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice University Of Rochester Pediatric Ophthalmology Services and her current practice location is 601 Elmwood Ave, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-3937.

Dr Andrea Fabiola Avila Pineda is licensed to practice in Ohio (license number 35.126539) 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 1649552761.

Contact Information

Dr Andrea Fabiola Avila Pineda, MD
601 Elmwood Ave,
Rochester, NY 14642-1716
(585) 275-3937
Not Available

Map and Direction




Physician's Profile

Full NameDr Andrea Fabiola Avila Pineda
GenderFemale
SpecialityOphthalmology
Experience17 Years
Location601 Elmwood Ave, Rochester, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrea Fabiola Avila Pineda graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1649552761
  • Provider Enumeration Date: 09/14/2011
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597077677
  • Enrollment ID: I20210525001428

Medical Identifiers

Medical identifiers for Dr Andrea Fabiola Avila Pineda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649552761NPI-NPPES
0134025MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207WX0110XOphthalmology - Pediatric Ophthalmology And Strabismus Specialist 306963 (New York)Secondary
207W00000XOphthalmology 35.126539 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Strong Memorial HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Rochester Pediatric Ophthalmology Services45877270525

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. Dr Andrea Fabiola Avila Pineda allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Rochester Pediatric Ophthalmology Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649428400
PECOS PAC ID: 4587727052
Enrollment ID: O20090109000026

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. Dr Andrea Fabiola Avila Pineda 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
Dr Andrea Fabiola Avila Pineda, MD
601 Elmwood Ave Box 888,
Rochester, NY 14642-0001

Ph: () -
Dr Andrea Fabiola Avila Pineda, MD
601 Elmwood Ave,
Rochester, NY 14642-1716

Ph: (585) 275-3937

Reviews and Comments


Ophthalmology Doctors in Rochester, NY

Donald A Grover, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 601 Elmwood Ave, Box 659, Rochester, NY 14642
Phone: 585-275-0378    Fax: 585-276-0236
Steve Byongkoo Park, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Buffalo Rd, Bldg 700, Rochester, NY 14624
Phone: 585-328-0153    Fax: 585-328-0158
Dr. Amde Selassie Shifera, M.D., PH.D.
Ophthalmology
Medicare: May Accept Medicare Assignments
Practice Location: 601 Elmwood Ave, Rochester, NY 14642
Phone: 585-273-3937    Fax: 813-783-2856
Dr. Matthew D Gearinger, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Box 659, Rochester, NY 14642
Phone: 585-273-3937    Fax: 585-276-0236
Bryant J Shin, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 973 East Avenue, Rochester, NY 14607
Phone: 585-442-1515    Fax: 585-442-8376
Dr. Yousuf Khalifa, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Rochester, NY 14642
Phone: 585-276-5482    
Frederick Dushay, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Box 659, Rochester, NY 14642
Phone: 585-275-0378    Fax: 585-276-0236

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.