Dr Vincent J Broillet, MD in Staten Island, NY

Dr Vincent J Broillet, MD is a medicare enrolled "Pediatrics" physician in Staten Island, New York. His current practice location is 4143 Richmond Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 966-5556.

Dr Vincent J Broillet is licensed to practice in New York (license number 207872) 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 1811972177.

Contact Information

	Dr Vincent J Broillet, MD
	4143 Richmond Ave, Staten Island, NY 10312-5637
	(718) 966-5556
	(718) 966-7483

Map and Direction

Physician's Profile

Full Name	Dr Vincent J Broillet
Gender	Male
Speciality	Pediatrics
Location	4143 Richmond Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811972177
Provider Enumeration Date: 12/09/2005
Last Update Date: 09/24/2021

Medicare PECOS Information:

PECOS PAC ID: 4385536903
Enrollment ID: I20040329000288

Medical Identifiers

Medical identifiers for Dr Vincent J Broillet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811972177	NPI	-	NPPES
02109117	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	207872 (New York)	Secondary
208000000X	Pediatrics	207872 (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 Vincent J Broillet allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Vincent J Broillet 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 Vincent J Broillet, MD 4143 Richmond Ave Ste 1, Staten Island, NY 10312-5637 Ph: (718) 966-5556	Dr Vincent J Broillet, MD 4143 Richmond Ave, Staten Island, NY 10312-5637 Ph: (718) 966-5556

Reviews and Comments

Pediatrics Doctors in Staten Island, NY

Dr. Emanuel Lazar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Seguine Ave, Staten Island, NY 10309 Phone: 718-356-3838 Fax: 718-356-0174
Dr. Jessie Bautista Pita, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 235 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-876-1732 Fax: 718-876-3459
Dr. Edward D Mccabe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 242 Mason Ave, Staten Island, NY 10305 Phone: 718-226-6262 Fax: 718-226-6531
Sabrina Dukach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Pediatrics Rm 314, Staten Island, NY 10310 Phone: 718-818-4636
Dr. Brian W.j. Mccarthy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4982 Hylan Blvd, Staten Island, NY 10312 Phone: 718-967-6200 Fax: 718-967-6314
Mr. Clifford A Mevs, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 148 New Dorp Lane, 2nd Floor, Staten Island, NY 10306 Phone: 718-980-5437 Fax: 718-979-2653
Dr. Emelita Riego De Dios Castor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 Forest Ave, Staten Island, NY 10303 Phone: 718-761-2060 Fax: 718-982-7647

Dr Vincent J Broillet, MD - Medicare Pediatrics in Staten Island, NY