Dr Santa Paul, MD - Medicare Pediatrics in Jamaica, NY

Dr Santa Paul, MD is a medicare enrolled "Pediatrics" physician in Jamaica, New York. Her current practice location is 17007 Hillside Ave, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at (917) 650-5305.

Dr Santa Paul is licensed to practice in New York (license number 2454541) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114119740.

Contact Information

Dr Santa Paul, MD
17007 Hillside Ave,
Jamaica, NY 11432-4546
(917) 650-5305
(718) 896-4415

Map and Direction




Physician's Profile

Full NameDr Santa Paul
GenderFemale
SpecialityPediatrics
Location17007 Hillside Ave, Jamaica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114119740
  • Provider Enumeration Date: 08/17/2007
  • Last Update Date: 08/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6901945716
  • Enrollment ID: I20091207000650

Medical Identifiers

Medical identifiers for Dr Santa Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114119740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2454541 (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 Santa Paul allows following entities to bill medicare on her behalf.
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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 Santa Paul 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 Santa Paul, MD
17007 Hillside Ave,
Jamaica, NY 11432-4546

Ph: (917) 650-5305
Dr Santa Paul, MD
17007 Hillside Ave,
Jamaica, NY 11432-4546

Ph: (917) 650-5305

Reviews and Comments


Pediatrics Doctors in Jamaica, NY

Dr. Marcy Renee Stein-albert, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8268 164th St, Jamaica, NY 11432
Phone: 718-883-3225    Fax: 718-883-6193
Dr. Sudhanshu Narendra, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10314 Lefferts Blvd, Jamaica, NY 11419
Phone: 718-843-2244    
Linda Wang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 18005 Hillside Ave, Jamaica, NY 11432
Phone: 516-542-6880    Fax: 516-542-5556
Dr. Emma Haydee Saenz Guevara, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8900 Van Wyck Expwy, Jamaica, NY 11418
Phone: 718-268-7526    Fax: 718-268-7526
Dr. Gayle Aylene Lashansky, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8268 164th St, Jamaica, NY 11432
Phone: 718-883-3225    Fax: 718-883-6193
Dr. Wilfrid Florvil, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9037 Parsons Blvd, Jamaica, NY 11432
Phone: 718-334-6400    Fax: 718-334-6430

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.