Mr Jonathan R Fugo-tutalo, DO - Medicare Plastic Surgery in New Windsor, NY

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Mr Jonathan R Fugo-tutalo, DO is a medicare enrolled "Plastic Surgery" physician in New Windsor, New York. His current practice location is 92 Old Route 9w, Suite 100, New Windsor, New York. You can reach out to his office (for appointments etc.) via phone at (845) 565-7040.

Mr Jonathan R Fugo-tutalo is licensed to practice in New York (license number 260705) 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 1407056534.

Contact Information

Mr Jonathan R Fugo-tutalo, DO
92 Old Route 9w, Suite 100,
New Windsor, NY 12553-5485
(845) 565-7040
(845) 565-7060

Map and Direction




Physician's Profile

Full NameMr Jonathan R Fugo-tutalo
GenderMale
SpecialityPlastic Surgery
Location92 Old Route 9w, New Windsor, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407056534
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284806654
  • Enrollment ID: I20111006000439

Medical Identifiers

Medical identifiers for Mr Jonathan R Fugo-tutalo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407056534NPI-NPPES
03372070MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 260705 (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. Mr Jonathan R Fugo-tutalo allows following entities to bill medicare on his behalf.
Entity NameEastern Orange Ambulatory Surgery Center, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568583896
PECOS PAC ID: 5799866570
Enrollment ID: O20080117000723
Entity NameHudson Vista Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659666840
PECOS PAC ID: 8628240215
Enrollment ID: O20111003000643

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. Mr Jonathan R Fugo-tutalo 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
Mr Jonathan R Fugo-tutalo, DO
92 Old Route 9w, Suite 100,
New Windsor, NY 12553-5485

Ph: (845) 565-7040		Mr Jonathan R Fugo-tutalo, DO
92 Old Route 9w, Suite 100,
New Windsor, NY 12553-5485

Ph: (845) 565-7040

Reviews and Comments


Plastic Surgery Doctors in New Windsor, NY


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.