Dr Colleen Stephanie Surlyn, MD in New York, NY

Dr Colleen Stephanie Surlyn, MD is a medicare enrolled "Internal Medicine" physician in New York, New York. Her current practice location is 632 Broadway Ph, New York, New York. You can reach out to her office (for appointments etc.) via phone at (347) 933-6246.

Dr Colleen Stephanie Surlyn is licensed to practice in New York (license number 270474-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053649418.

Contact Information

	Dr Colleen Stephanie Surlyn, MD
	632 Broadway Ph, New York, NY 10012-2614
	(347) 933-6246
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Colleen Stephanie Surlyn
Gender	Female
Speciality	Internal Medicine
Location	632 Broadway Ph, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053649418
Provider Enumeration Date: 11/24/2009
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 1456514629
Enrollment ID: I20120525000418

Medical Identifiers

Medical identifiers for Dr Colleen Stephanie Surlyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053649418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0401X	Internal Medicine - Addiction Medicine	270474 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	270474-1 (New York)	Primary

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 Colleen Stephanie Surlyn allows following entities to bill medicare on her behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154396208 PECOS PAC ID: 5496668410 Enrollment ID: O20031113000632

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386619344 PECOS PAC ID: 5496668410 Enrollment ID: O20050401000140

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 Colleen Stephanie Surlyn 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
Dr Colleen Stephanie Surlyn, MD 64 Bleecker St # 151, New York, NY 10012-2410 Ph: () -	Dr Colleen Stephanie Surlyn, MD 632 Broadway Ph, New York, NY 10012-2614 Ph: (347) 933-6246

Reviews and Comments

Internal Medicine Doctors in New York, NY

Dr. Ravishankar Ramaswamy, MD, MS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 Madison Avenue, New York, NY 10029 Phone: 212-659-8552 Fax: 212-860-9737
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Dr. Rakhshan Mahmood Chida, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 327 E 17th St, New York, NY 10003 Phone: 212-420-5690
Charles D Resor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, New York, NY 10032 Phone: 212-305-2913
Dr. Jacqueline Yuey Lonier, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Saint Nicholas Ave, New York, NY 10032 Phone: 212-851-5494
Dr. Sharon Uralil, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293
Diana Kantor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 9th Ave, New York, NY 10019 Phone: 212-586-1550

Dr Colleen Stephanie Surlyn, MD - Medicare Internal Medicine in New York, NY