Dr Charles C Kwak, MD - Medicare Dermatology in Elmhurst, NY

Dr Charles C Kwak, MD is a medicare enrolled "Dermatology" physician in Elmhurst, New York. He went to State University Of Ny Upstate Medical University and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Premier Healthcare Inc, Metro Dermatology Of Ny,p.c. and his current practice location is 4012 80th St, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (718) 886-9000.

Dr Charles C Kwak is licensed to practice in New York (license number 218069) 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 1548270218.

Contact Information

Dr Charles C Kwak, MD
4012 80th St,
Elmhurst, NY 11373-1234
(718) 886-9000
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles C Kwak
GenderMale
SpecialityDermatology
Experience26 Years
Location4012 80th St, Elmhurst, New York
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 Charles C Kwak attended and graduated from State University Of Ny Upstate Medical University in 1998
  NPI Data:
  • NPI Number: 1548270218
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 08/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173621349
  • Enrollment ID: I20070612000338

Medical Identifiers

Medical identifiers for Dr Charles C Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548270218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 218069 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Healthcare Inc125423315849
Metro Dermatology Of Ny,p.c.377976170514

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 Charles C Kwak allows following entities to bill medicare on his behalf.
Entity NamePremier Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760436190
PECOS PAC ID: 1254233158
Enrollment ID: O20040122000144
Entity NameMetro Dermatology Of Ny,p.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336343268
PECOS PAC ID: 3779761705
Enrollment ID: O20110622000399

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 Charles C Kwak 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 Charles C Kwak, MD
4012 80th St,
Elmhurst, NY 11373-1234

Ph: (718) 886-9000
Dr Charles C Kwak, MD
4012 80th St,
Elmhurst, NY 11373-1234

Ph: (718) 886-9000

Reviews and Comments


Dermatology Doctors in Elmhurst, NY

Marie Claire Leger, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4012 80th St, Elmhurst, NY 11373
Phone: 718-886-9000    Fax: 718-961-0666
Huachen Wei, MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 8701 56th Ave, 1 Fl, Elmhurst, NY 11373
Phone: 718-457-0002    Fax: 718-457-9108
Dr. Martin Wininger, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8037 Broadway, Elmhurst, NY 11373
Phone: 718-898-8600    Fax: 718-898-8704
Dr. Julia Wu, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 7901 Broadway, Elmhurst, NY 11373
Phone: 718-334-4000    
Adalme Pena, PA-C
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 4037 74th St, Elmhurst, NY 11373
Phone: 718-651-7000    
Michael Ezra Berry, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4037 74th St, Elmhurst, NY 11373
Phone: 718-651-7000    Fax: 718-606-8966

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.