Dr Julio Gorga Sr, MD - Medicare Pediatrics in Jackson Heights, NY

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Dr Julio Gorga Sr, MD is a medicare enrolled "Pediatrics" physician in Jackson Heights, New York. His current practice location is 9542 Roosevelt Ave, Jackson Heights, New York. You can reach out to his office (for appointments etc.) via phone at (718) 334-6720.

Dr Julio Gorga Sr is licensed to practice in New York (license number 193140) 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 1265551444.

Contact Information

Dr Julio Gorga Sr, MD
9542 Roosevelt Ave,
Jackson Heights, NY 11372-8012
(718) 334-6720
(718) 334-6719

Map and Direction




Physician's Profile

Full NameDr Julio Gorga Sr
GenderMale
SpecialityPediatrics
Location9542 Roosevelt Ave, Jackson Heights, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265551444
  • Provider Enumeration Date: 03/28/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022467869
  • Enrollment ID: I20231205004039

Medical Identifiers

Medical identifiers for Dr Julio Gorga Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265551444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 193140 (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 Julio Gorga Sr allows following entities to bill medicare on his behalf.
Entity NameNew Century Medical Centers Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588354989
PECOS PAC ID: 2163877762
Enrollment ID: O20231017003934

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 Julio Gorga Sr 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 Julio Gorga Sr, MD
Po Box 451,
Mamaroneck, NY 10543-0451

Ph: (914) 384-2577		Dr Julio Gorga Sr, MD
9542 Roosevelt Ave,
Jackson Heights, NY 11372-8012

Ph: (718) 334-6720

Reviews and Comments


Pediatrics Doctors in Jackson Heights, NY

Dr. Lolita Montolo Uy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3553 77th St, 2-b, Jackson Heights, NY 11372
Phone: 718-457-7998    
Paul Edward Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3540 82nd St Ste 1d, Jackson Heights, NY 11372
Phone: 718-507-5800    Fax: 718-507-2154
Rhina Rodriguez, M D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9014 Elmhurst Ave, Jackson Heights, NY 11372
Phone: 718-899-0470    
Victor E Peralta, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 93-20a Roosevelt Ave., Suite 2a, Jackson Heights, NY 11372
Phone: 718-334-6793    
Margaret Rose Robinson,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3540 82nd St, Jackson Heights, NY 11372
Phone: 718-507-5800    
Hector Antonio Valencia, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3752 82nd St, 2nd Fl., Jackson Heights, NY 11372
Phone: 718-779-5855    Fax: 718-779-1053

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.