Edward John Broccoli, MD - Medicare Anesthesiology in Chappaqua, NY

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Edward John Broccoli, MD is a medicare enrolled "Anesthesiology" physician in Chappaqua, New York. His current practice location is 16 S Bedford Rd, 3w, Chappaqua, New York. You can reach out to his office (for appointments etc.) via phone at (914) 844-2864.

Edward John Broccoli is licensed to practice in New York (license number 1934481) 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 1609866060.

Contact Information

Edward John Broccoli, MD
16 S Bedford Rd, 3w,
Chappaqua, NY 10514-3464
(914) 844-2864
Not Available

Map and Direction




Physician's Profile

Full NameEdward John Broccoli
GenderMale
SpecialityAnesthesiology
Location16 S Bedford Rd, Chappaqua, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609866060
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648167247
  • Enrollment ID: I20080731000237

Medical Identifiers

Medical identifiers for Edward John Broccoli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609866060NPI-NPPES
0004487677OtherNYAETNA US HEALTHCARE PPO
5398369OtherNYHEALTH NET
8K819OtherNYEMPIRE BCBS
3129240OtherNYAETNA US HEALTHCARE HMO
5398370OtherNYGHI
P2823545OtherNYOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 1934481 (New York)Primary
207LP2900XAnesthesiology - Pain Medicine 1934481 (New York)Secondary

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. Edward John Broccoli allows following entities to bill medicare on his behalf.
Entity NameRamapo Anesthesiologists, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235151002
PECOS PAC ID: 3476444373
Enrollment ID: O20040322000677
Entity NameMontefiore Mount Vernon Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013345065
PECOS PAC ID: 7810122231
Enrollment ID: O20150423000849
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498
Entity NameWestchester Ambulatory Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538616487
PECOS PAC ID: 0143506378
Enrollment ID: O20170424001377

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. Edward John Broccoli 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
Edward John Broccoli, MD
16 S Bedford Rd, 3w,
Chappaqua, NY 10514-3464

Ph: (914) 844-2864		Edward John Broccoli, MD
16 S Bedford Rd, 3w,
Chappaqua, NY 10514-3464

Ph: (914) 844-2864

Reviews and Comments


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Phone: 914-924-0916    

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.