Dr Erion Qaja, DO - Medicare Vascular Surgery in Poughkeepsie, NY

Dr Erion Qaja, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Poughkeepsie, New York. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Nuvance Health Medical Practice, Pc and his current practice location is 21 Reade Pl Ste 2200, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (845) 483-0698.

Dr Erion Qaja is licensed to practice in New York (license number 304899) 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 1396185328.

Contact Information

Dr Erion Qaja, DO
21 Reade Pl Ste 2200,
Poughkeepsie, NY 12601-3970
(845) 483-0698
Not Available

Map and Direction




Physician's Profile

Full NameDr Erion Qaja
GenderMale
SpecialityVascular Surgery
Experience11 Years
Location21 Reade Pl Ste 2200, Poughkeepsie, 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 Erion Qaja graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1396185328
  • Provider Enumeration Date: 07/05/2013
  • Last Update Date: 07/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173871340
  • Enrollment ID: I20200821000510

Medical Identifiers

Medical identifiers for Dr Erion Qaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396185328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 60607 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery 304899 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vassar Brothers Medical CenterPoughkeepsie, NYHospital
Northern Dutchess HospitalRhinebeck, NYHospital
Sharon HospitalSharon, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice, Pc1658468442457

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 Erion Qaja allows following entities to bill medicare on his behalf.
Entity NameNuvance Health Medical Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437358033
PECOS PAC ID: 1658468442
Enrollment ID: O20071025000436

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 Erion Qaja 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 Erion Qaja, DO
21 Reade Pl Ste 2200,
Poughkeepsie, NY 12601-3970

Ph: (860) 972-2840
Dr Erion Qaja, DO
21 Reade Pl Ste 2200,
Poughkeepsie, NY 12601-3970

Ph: (845) 483-0698

Reviews and Comments


Surgery Doctors in Poughkeepsie, NY

Dr. Herminio Diaz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601
Phone: 845-483-5000    
Cheng Ng, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601
Phone: 845-790-1317    
Mark K Hirko, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601
Phone: 845-214-1800    
Dr. Joseph J Fulton, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 241 North Rd, Poughkeepsie, NY 12601
Phone: 845-483-5934    
Gabi Barmettler, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 21 Reade Pl Ste 2100, Poughkeepsie, NY 12601
Phone: 845-214-1840    
Dr. Michael Llewellyn Ormont, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 21 Fox St Ste 104, Poughkeepsie, NY 12601
Phone: 845-431-2400    
Susan K Boolbol, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601
Phone: 845-214-1837    

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.