Dr John Babalola, MD - Medicare Surgery in Valley Stream, NY

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Dr John Babalola, MD is a medicare enrolled "Surgery" physician in Valley Stream, New York. His current practice location is 260 W Sunrise Hwy, Ste 200, Valley Stream, New York. You can reach out to his office (for appointments etc.) via phone at (516) 825-3600.

Dr John Babalola is licensed to practice in New York (license number 229550) 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 1487613626.

Contact Information

Dr John Babalola, MD
260 W Sunrise Hwy, Ste 200,
Valley Stream, NY 11581-1011
(516) 825-3600
Not Available

Map and Direction




Physician's Profile

Full NameDr John Babalola
GenderMale
SpecialitySurgery
Location260 W Sunrise Hwy, Valley Stream, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487613626
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 02/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6507938032
  • Enrollment ID: I20080627000584

Medical Identifiers

Medical identifiers for Dr John Babalola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487613626NPI-NPPES
02983571MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 229550 (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 John Babalola allows following entities to bill medicare on his behalf.
Entity NameEmpire Wound Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130742
PECOS PAC ID: 6406170497
Enrollment ID: O20150122001257
Entity NamePelham Pkwy Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285156067
PECOS PAC ID: 4082976386
Enrollment ID: O20180327000712
Entity NameFoxhurst Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730547522
PECOS PAC ID: 6901151778
Enrollment ID: O20180619001805
Entity NameBushwick Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720565922
PECOS PAC ID: 5092068262
Enrollment ID: O20181106000485

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 John Babalola 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 John Babalola, MD
55 Water St, 12th Floor, Credentialing,
New York, NY 10041-0004

Ph: (646) 680-2888		Dr John Babalola, MD
260 W Sunrise Hwy, Ste 200,
Valley Stream, NY 11581-1011

Ph: (516) 825-3600

Reviews and Comments


Surgery Doctors in Valley Stream, NY

Hideo Takahashi, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 S Central Ave, Valley Stream, NY 11580
Phone: 516-632-3359    Fax: 516-632-3355
Dr. Ira Klonsky, M.D.
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 210 E Sunrise Hwy, Suite 303, Valley Stream, NY 11581
Phone: 516-568-9119    Fax: 516-568-9485
Dr. Devendra Brahmbhatt, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 210 E Sunrise Hwy Ste 303, Valley Stream, NY 11581
Phone: 516-568-9119    Fax: 516-568-9485
Dr. Michael G. Persico, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 260 W Sunrise Hwy, Suite 200, Valley Stream, NY 11581
Phone: 516-825-3600    Fax: 516-823-2051
Hsu-tsai Chi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 S Central Ave, Valley Stream, NY 11580
Phone: 516-632-3350    
Dr. Rajiv Datta, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 S Central Ave, Valley Stream, NY 11580
Phone: 516-632-3300    Fax: 516-632-3355

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.