Kenya Medina, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Floral Park, New York. Her current practice location is
24912 Jericho Tpke Ste 110, Floral Park, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 233-1717.
Kenya Medina is licensed to practice in New York (license number 047721) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801550611.
Physician's Profile
| Full Name | Kenya Medina |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 24912 Jericho Tpke Ste 110, Floral Park, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801550611
- Provider Enumeration Date: 10/27/2021
- Last Update Date: 10/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668848789
- Enrollment ID: I20221014000871
Medical Identifiers
Medical identifiers for Kenya Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801550611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 047721 (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. Kenya Medina allows following entities to bill medicare on her behalf.
| Entity Name | Achieve At Home Physical Therapy Pllc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1932840188
PECOS PAC ID: 4789071903
Enrollment ID: O20220418001858 |
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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. Kenya Medina 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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Kenya Medina,
24912 Jericho Tpke Ste 110,
Floral Park, NY 11001-4020
Ph: (516) 233-1717 | Kenya Medina,
24912 Jericho Tpke Ste 110,
Floral Park, NY 11001-4020
Ph: (516) 233-1717 |
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