Gustavo Emil Polanco Hernandez, PA is a medicare enrolled "Physician Assistant" physician in Bronx, New York. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Essen Medical Urgicare, Pllc and his current practice location is
2015 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 583-7736.
Gustavo Emil Polanco Hernandez is licensed to practice in New York (license number 029357) 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 1013558188.
Physician's Profile
| Full Name | Gustavo Emil Polanco Hernandez |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 2015 Grand Concourse, Bronx, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gustavo Emil Polanco Hernandez graduated from medical school in 2019
NPI Data:
- NPI Number: 1013558188
- Provider Enumeration Date: 09/30/2019
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789004235
- Enrollment ID: I20230104002646
Medical Identifiers
Medical identifiers for Gustavo Emil Polanco Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013558188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0200X | Internal Medicine - Critical Care Medicine | PA9112633 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PA9112633 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9112633 (Florida) | Secondary |
| 207T00000X | Neurological Surgery | PA9112633 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9112633 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 029357 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Essen Medical Urgicare, Pllc | 4385960897 | 52 |
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 Emil Polanco Hernandez 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 |
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Gustavo Emil Polanco Hernandez, PA
2626 Halperin Ave,
Bronx, NY 10461-2631
Ph: (718) 618-0401 | Gustavo Emil Polanco Hernandez, PA
2015 Grand Concourse,
Bronx, NY 10453-4303
Ph: (718) 583-7736 |
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