Nidia Andrea Pardo Angel, MD is a medicare enrolled "Family Medicine" physician in Bohemia, New York. Her current practice location is
3460 Veterans Memorial Highway, Bohemia, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 815-2320.
Nidia Andrea Pardo Angel is licensed to practice in New York (license number 331640) 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 1477139830.
Physician's Profile
| Full Name | Nidia Andrea Pardo Angel |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3460 Veterans Memorial Highway, Bohemia, 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: 1477139830
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345785010
- Enrollment ID: I20240717003958
Medical Identifiers
Medical identifiers for Nidia Andrea Pardo Angel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477139830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 331640 (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. Nidia Andrea Pardo Angel allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Nidia Andrea Pardo Angel 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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Nidia Andrea Pardo Angel, MD
3460 Veterans Memorial Highway,
Bohemia, NY 11716
Ph: (631) 815-2320 | Nidia Andrea Pardo Angel, MD
3460 Veterans Memorial Highway,
Bohemia, NY 11716
Ph: (631) 815-2320 |
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