Dr Michelle Guevarra Pena, MD is a medicare enrolled "Ophthalmology" physician in Patchogue, New York. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Ophthalmology. Her current practice location is
14a Jayne Avenue, Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 475-0222.
Dr Michelle Guevarra Pena is licensed to practice in New York (license number 2095111) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588628911.
Physician's Profile
| Full Name | Dr Michelle Guevarra Pena |
|---|
| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 28 Years |
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| Location | 14a Jayne Avenue, Patchogue, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michelle Guevarra Pena graduated from medical school in 1996
NPI Data:
- NPI Number: 1588628911
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 12/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527100247
- Enrollment ID: I20100119000454
Medical Identifiers
Medical identifiers for Dr Michelle Guevarra Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588628911 | NPI | - | NPPES |
| 113660574 | Other | | MAGNACARE |
| 7121410 | Other | | AETNA US HEALTHCARE PPO |
| 180045562 | Other | | RR RETIREMENT MEDICARE |
| 3C3882 | Other | | HEALTNET |
| 000000082260 | Other | | GHI HMO |
| 0498205 | Other | | GHI PPO |
| 113660574 | Other | | MULTIPLAN |
| 2087772 | Other | | FIRST HEALTH |
| 3080739 | Other | | AETNA US HEALTHCARE HMO |
| 430A71 | Other | | EMPIRE BLUE CROSS BLUE SH |
| AA72021 | Other | | MDNY |
| P2807516 | Other | | OXFORD |
| 02315391 | Medicaid | NY | |
| 1800045562 | Other | | RR RETIREMENT MEDICARE |
| 2095111 | Other | | HIP |
| 2095115W | Other | NY | WORKERS COMP |
| 3818002003 | Other | | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 2095111 (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 Michelle Guevarra Pena allows following entities to bill medicare on her behalf.
| Entity Name | Michelle Guevarra Pena Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518923598
PECOS PAC ID: 4789573155
Enrollment ID: O20100120000193 |
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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 Michelle Guevarra Pena 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 Michelle Guevarra Pena, MD
14a Jayne Avenue,
Patchogue, NY 11772
Ph: (631) 475-0222 | Dr Michelle Guevarra Pena, MD
14a Jayne Avenue,
Patchogue, NY 11772
Ph: (631) 475-0222 |
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