Dr Fredric Bomback, MD in Hartsdale, NY

Dr Fredric Bomback, MD is a medicare enrolled "Pediatrics" physician in Hartsdale, New York. His current practice location is 99 Fieldstone Dr, Hartsdale, New York. You can reach out to his office (for appointments etc.) via phone at (914) 428-2120.

Dr Fredric Bomback is licensed to practice in New York (license number 106826) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417935628.

Contact Information

	Dr Fredric Bomback, MD
	99 Fieldstone Dr, Hartsdale, NY 10530-1564
	(914) 428-2120
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Fredric Bomback
Gender	Male
Speciality	Pediatrics
Location	99 Fieldstone Dr, Hartsdale, 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: 1417935628
Provider Enumeration Date: 01/06/2006
Last Update Date: 01/28/2014

Medicare PECOS Information:

PECOS PAC ID: 9335176106
Enrollment ID: I20050722000789

Medical Identifiers

Medical identifiers for Dr Fredric Bomback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417935628	NPI	-	NPPES
1C7501	Other	NY	HEALTH NET
132625705	Other	NY	UNITED HEALTHCARE
14733	Other	NY	HEALTHSOURCE
WP235	Other	NY	OXFORD
0124825	Other	NY	AETNA HMO
6301220003	Other	NY	CIGNA
5238573	Other	NY	AETNA PPO
00187682	Medicaid	NY
132625705	Other	NM	POMCO
712981	Other	NY	EMPIRE BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	106826 (New York)	Secondary
208000000X	Pediatrics	106826 (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 Fredric Bomback allows following entities to bill medicare on his behalf.

Entity Name	The Westchester Medical Group, P.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881653822 PECOS PAC ID: 6406752963 Enrollment ID: O20031208000533

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

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 Fredric Bomback 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 Fredric Bomback, MD 99 Fieldstone Dr, Hartsdale, NY 10530-1564 Ph: (914) 428-2120	Dr Fredric Bomback, MD 99 Fieldstone Dr, Hartsdale, NY 10530-1564 Ph: (914) 428-2120

Reviews and Comments

Pediatrics Doctors in Hartsdale, NY

Dr. Jerome None Strachman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27 Southern Rd, Hartsdale, NY 10530 Phone: 914-693-0130 Fax: 914-693-0803
Dr. Sara F Kenamore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Fieldstone Dr, Hartsdale, NY 10530 Phone: 914-428-2120 Fax: 914-428-1989
Dr. Eric William Small, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 N Central Ave Ste 70, Hartsdale, NY 10530 Phone: 914-666-7900 Fax: 914-666-7901
Dr. Patricia L Haber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 64 Old Colony Rd, Hartsdale, NY 10530 Phone: 718-881-0100 Fax: 718-881-7752
Dr. Jennifer L Longobardi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Fieldstone Dr, Hartsdale, NY 10530 Phone: 914-428-2120 Fax: 914-428-1989
Dr. Robert E Rosenberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 280 N Central Ave, Suite 303, Hartsdale, NY 10530 Phone: 914-271-5639 Fax: 914-271-5639
Dr. Alice Maynard Stratigos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Hawthorne Way, Hartsdale, NY 10530 Phone: 914-437-8456 Fax: 914-437-8456

Dr Fredric Bomback, MD - Medicare Pediatrics in Hartsdale, NY