Gustavo Sanroman, MD in Port Jefferson Station, NY

Gustavo Sanroman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Port Jefferson Station, New York. He went to Pennsylvania State University College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice University Associates In Obstetrics And Gynecology University Faculty and his current practice location is 5225 Route 347, Suite 70, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (800) 645-3203.

Gustavo Sanroman is licensed to practice in New York (license number 173068) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619917960.

Contact Information

	Gustavo Sanroman, MD
	5225 Route 347, Suite 70, Port Jefferson Station, NY 11776-2053
	(800) 645-3203
	(631) 474-9169

Map and Direction

Physician's Profile

Full Name	Gustavo Sanroman
Gender	Male
Speciality	Obstetrics/gynecology
Experience	38 Years
Location	5225 Route 347, Port Jefferson Station, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gustavo Sanroman attended and graduated from Pennsylvania State University College Of Medicine in 1986

NPI Data:

NPI Number: 1619917960
Provider Enumeration Date: 06/07/2006
Last Update Date: 05/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4688630999
Enrollment ID: I20041208000820

Medical Identifiers

Medical identifiers for Gustavo Sanroman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619917960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	173068 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
St Charles Hospital	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Associates In Obstetrics And Gynecology University Faculty	9032001045	98

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. Gustavo Sanroman allows following entities to bill medicare on his behalf.

Entity Name	University Associates In Obstetrics & Gynecology University Faculty P
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538114723 PECOS PAC ID: 9032001045 Enrollment ID: O20040325001243

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. Gustavo Sanroman 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
Gustavo Sanroman, MD 45 Research Way Ste 105, East Setauket, NY 11733-6401 Ph: (631) 675-2125	Gustavo Sanroman, MD 5225 Route 347, Suite 70, Port Jefferson Station, NY 11776-2053 Ph: (800) 645-3203

Reviews and Comments

Obstetrics & Gynecology Doctors in Port Jefferson Station, NY

Dr. Jerry Ninia, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-331-0500 Fax: 631-331-1644
Dr. Thomas P. Erhart, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500-11 Route 112, Suites A & B, Port Jefferson Station, NY 11776 Phone: 631-474-4917 Fax: 631-331-1120
Dreux Patton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-331-4400
Theodore Goldberg, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-331-4400
Dr. Dana L Brenner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776 Phone: 631-331-8777 Fax: 631-474-9169

Gustavo Sanroman, MD - Medicare Obstetrics/gynecology in Port Jefferson Station, NY