Dr Timothy Robert Gandolfo, DO - Medicare Family Medicine in Glen Head, NY

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Dr Timothy Robert Gandolfo, DO is a medicare enrolled "Family Medicine" physician in Glen Head, New York. His current practice location is 189 Wheatley Rd, Glen Head, New York. You can reach out to his office (for appointments etc.) via phone at (516) 686-4400.

Dr Timothy Robert Gandolfo is licensed to practice in New York (license number 330997) 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 1891375671.

Contact Information

Dr Timothy Robert Gandolfo, DO
189 Wheatley Rd,
Glen Head, NY 11545-2641
(516) 686-4400
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Robert Gandolfo
GenderMale
SpecialityFamily Medicine
Location189 Wheatley Rd, Glen Head, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891375671
  • Provider Enumeration Date: 04/14/2021
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587109616
  • Enrollment ID: I20240713000166

Medical Identifiers

Medical identifiers for Dr Timothy Robert Gandolfo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891375671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 330997 (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 Timothy Robert Gandolfo allows following entities to bill medicare on his behalf.
Entity NameAdvantage Care Diagnostic And Treatment Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073689600
PECOS PAC ID: 6800836255
Enrollment ID: O20050505000457

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 Timothy Robert Gandolfo 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 Timothy Robert Gandolfo, DO
189 Wheatley Rd,
Glen Head, NY 11545-2641

Ph: () -		Dr Timothy Robert Gandolfo, DO
189 Wheatley Rd,
Glen Head, NY 11545-2641

Ph: (516) 686-4400

Reviews and Comments


Family Medicine Doctors in Glen Head, NY

Noor Ul Ain Hashmi, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4 Farmwoods Ln, Glen Head, NY 11545
Phone: 631-747-1987    
Ghazanfar W Haidery, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545
Phone: 516-676-1500    Fax: 516-759-5946

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.