Dr Carlos Alfonso Sanchez, DO - Medicare Family Practice in Newark, NJ

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Dr Carlos Alfonso Sanchez, DO is a medicare enrolled "Family Medicine" physician in Newark, New Jersey. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice City Medical Of Upper East Side Pllc, Wound Healing Associates Pc and his current practice location is 617 Broad St, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (862) 246-7940.

Dr Carlos Alfonso Sanchez is licensed to practice in New York (license number 275285) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255624896.

Contact Information

Dr Carlos Alfonso Sanchez, DO
617 Broad St,
Newark, NJ 07102-4403
(862) 246-7940
(862) 246-7941

Map and Direction




Physician's Profile

Full NameDr Carlos Alfonso Sanchez
GenderMale
SpecialityFamily Practice
Experience14 Years
Location617 Broad St, Newark, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlos Alfonso Sanchez graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1255624896
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 07/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466671433
  • Enrollment ID: I20140924001533

Medical Identifiers

Medical identifiers for Dr Carlos Alfonso Sanchez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255624896NPI-NPPES
02845370MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MB09378700 (New Jersey)Secondary
207Q00000XFamily Medicine 275285 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Medical Of Upper East Side Pllc0648465039737
Wound Healing Associates Pc266878911610

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 Carlos Alfonso Sanchez allows following entities to bill medicare on his behalf.
Entity NameBronx Park Urgent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326191727
PECOS PAC ID: 8022907369
Enrollment ID: O20040313000475
Entity NameUnion Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437255155
PECOS PAC ID: 4486545266
Enrollment ID: O20040322001358
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052

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 Carlos Alfonso Sanchez 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 Carlos Alfonso Sanchez, DO
1345 Rxr Plz Fl 13,
Uniondale, NY 11556-1301

Ph: (516) 453-0435		Dr Carlos Alfonso Sanchez, DO
617 Broad St,
Newark, NJ 07102-4403

Ph: (862) 246-7940

Reviews and Comments


Family Medicine Doctors in Newark, NJ

Pamela Anderson,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 354 Doremus Ave, Newark, NJ 07105
Phone: 973-274-6816    
Michael A. Gerstmann, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103
Phone: 973-972-6479    Fax: 973-972-8626
Padam K Neopane, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 90 Bergen St Ste 300, Newark, NJ 07103
Phone: 973-972-2111    Fax: 973-972-2754
Dr. Hortensia Kelly, D.O
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 851 Mount Prospect Ave, Newark, NJ 07104
Phone: 973-481-0501    Fax: 973-481-0503
Novneet Sahu, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 185 S Orange Ave, Newark, NJ 07103
Phone: 973-972-2861    
Aicha Fofana, MSN, APRN, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 374 7th Ave W Unit 7114, Newark, NJ 07107
Phone: 862-235-7886    
Noa'a Shimoni, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Bergen St, Suite 1750, Newark, NJ 07103
Phone: 973-972-8219    Fax: 973-972-0018

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.