Dr Nelson Rafael Giraldo, MD - Medicare in Bay Shore, NY

Dr Nelson Rafael Giraldo, MD is a medicare enrolled "Family Medicine" physician in Bay Shore, New York. His current practice location is 10 Brentwood Rd, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at (631) 665-8007.

Dr Nelson Rafael Giraldo is licensed to practice in New York (license number 175993) 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 1902996093.

Contact Information

Dr Nelson Rafael Giraldo, MD
10 Brentwood Rd,
Bay Shore, NY 11706
(631) 665-8007
(631) 665-8914

Map and Direction




Physician's Profile

Full NameDr Nelson Rafael Giraldo
GenderMale
Speciality
Experience Years
Location10 Brentwood Rd, Bay Shore, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nelson Rafael Giraldo attended and graduated from in
  NPI Data:
  • NPI Number: 1902996093
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 05/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Nelson Rafael Giraldo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902996093NPI-NPPES
0025185OtherNYAETNA
1180OtherNYVYTRA
0488131OtherNYCIGNA
142428MedicaidNY
3C9490OtherNYHEALTHNET
9657827OtherNYGHI
P431628OtherNYOXFORD
02F671OtherNYBLUE CROSS BLUE SHIELD
803853OtherNYFIRSTHEALTH
01105673MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 175993 (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. Dr Nelson Rafael Giraldo 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
Dr Nelson Rafael Giraldo, MD
10 Brentwood Rd,
Bay Shore, NY 11706

Ph: (631) 665-8007
Dr Nelson Rafael Giraldo, MD
10 Brentwood Rd,
Bay Shore, NY 11706

Ph: (631) 665-8007

Reviews and Comments


Family Medicine Doctors in Bay Shore, NY

Dr. Ehab Sabry Hanna, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 E Main St, Bay Shore, NY 11706
Phone: 631-968-3000    
Tanveer Akhtar Bajwa, M. D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 160 Howells Rd, Bay Shore, NY 11706
Phone: 631-968-4200    Fax: 631-968-4004
Dr. Martha Delgadillo Pilchman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 85 W Main St, St 101, Bay Shore, NY 11706
Phone: 631-666-1400    Fax: 631-666-5781
Carmen Diaz,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 89 Junard Dr, Bay Shore, NY 11706
Phone: 254-244-1660    
Erika Hsiu Hiby, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 340 E Main St, Bay Shore, NY 11706
Phone: 631-206-2901    Fax: 631-206-0168
Mr. Jose Ignacio Rodriguez-ospina, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Maple Ave, Bay Shore, NY 11706
Phone: 631-665-4392    
Dr. Edison Roque Blanco, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16 Brentwood Rd, Bay Shore, NY 11706
Phone: 631-969-7875    Fax: 631-969-7883

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.