Krystal C Cappas Cordero, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flushing, New York. Her current practice location is
4500 Parsons Blvd, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 670-5000.
Krystal C Cappas Cordero is licensed to practice in New York (license number ) 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 1588318414.
Physician's Profile
Full Name | Krystal C Cappas Cordero |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4500 Parsons Blvd, Flushing, 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. |
NPI Data:
- NPI Number: 1588318414
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325411606
- Enrollment ID: I20230307003215
Medical Identifiers
Medical identifiers for Krystal C Cappas Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588318414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 23017 (Puerto Rico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 16000I (Puerto Rico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New York) | Primary |
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. Krystal C Cappas Cordero 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 |
Krystal C Cappas Cordero, MD 4500 Parsons Blvd, Flushing, NY 11355-2205 Ph: () - | Krystal C Cappas Cordero, MD 4500 Parsons Blvd, Flushing, NY 11355-2205 Ph: (718) 670-5000 |
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