Mohinder K Guram, MD - Medicare Pediatrics in Lake Ronkonkoma, NY

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Mohinder K Guram, MD is a medicare enrolled "Pediatrics" physician in Lake Ronkonkoma, New York. Her current practice location is 640 Hawkins Ave, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at (631) 737-0100.

Mohinder K Guram is licensed to practice in New York (license number 161456) 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 1871546812.

Contact Information

Mohinder K Guram, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324
(631) 737-0100
(631) 417-1117

Map and Direction




Physician's Profile

Full NameMohinder K Guram
GenderFemale
SpecialityPediatrics
Location640 Hawkins Ave, Lake Ronkonkoma, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871546812
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 09/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729182407
  • Enrollment ID: I20070406000274

Medical Identifiers

Medical identifiers for Mohinder K Guram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871546812NPI-NPPES
01352854MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 161456 (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. Mohinder K Guram allows following entities to bill medicare on her behalf.
Entity NameAdvantagecare Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446

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. Mohinder K Guram 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
Mohinder K Guram, MD
55 Water St, 2nd Floor Cred Dept,
New York, NY 10041-0004

Ph: (646) 680-2888		Mohinder K Guram, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324

Ph: (631) 737-0100

Reviews and Comments


Pediatrics Doctors in Lake Ronkonkoma, NY

Dr. Bettina S. Niederer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-417-1117
Zenaida Reyes Ignacio-cruz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 42 Metzner Rd, Lake Ronkonkoma, NY 11779
Phone: 631-588-4443    Fax: 631-588-1261

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.