Pankaj K Mamtora, MD in Ridgewood, NY - Medicare Internal Medicine

Pankaj K Mamtora, MD is a medicare enrolled "Internal Medicine" physician in Ridgewood, New York. His current practice location is 5629 Metropolitan Ave, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at (718) 418-0300.

Pankaj K Mamtora is licensed to practice in New York (license number 183635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467534842.

Contact Information

	Pankaj K Mamtora, MD
	5629 Metropolitan Ave, Ridgewood, NY 11385-1975
	(718) 418-0300
	(718) 418-0301

Map and Direction

Physician's Profile

Full Name	Pankaj K Mamtora
Gender	Male
Speciality	Internal Medicine
Location	5629 Metropolitan Ave, Ridgewood, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467534842
Provider Enumeration Date: 10/19/2006
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6002978905
Enrollment ID: I20090102000005

Medical Identifiers

Medical identifiers for Pankaj K Mamtora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467534842	NPI	-	NPPES
01456968	Medicaid	NY
29I692	Other	NY	EMPIRE BS BC ON NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	183635 (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. Pankaj K Mamtora allows following entities to bill medicare on his behalf.

Entity Name	Northeast Medical, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912393406 PECOS PAC ID: 7810208824 Enrollment ID: O20150617002118

Entity Name	Mk Healthcare Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316426299 PECOS PAC ID: 8123371978 Enrollment ID: O20181025001137

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. Pankaj K Mamtora 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
Pankaj K Mamtora, MD 5629 Metropolitan Ave, Ridgewood, NY 11385-1975 Ph: (718) 418-0300	Pankaj K Mamtora, MD 5629 Metropolitan Ave, Ridgewood, NY 11385-1975 Ph: (718) 418-0300

Reviews and Comments

Internal Medicine Doctors in Ridgewood, NY

Dr. Kalpesh S Amin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6911 Forest Ave, Ridgewood, NY 11385 Phone: 718-497-8419 Fax: 718-386-3522
Dr. Rekha Bhandari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Seneca Ave, Ridgewood, NY 11385 Phone: 718-821-1222 Fax: 718-418-7490
Abul B Shahidullah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 62-65 Forest Avenue, Ridgewood, NY 11385 Phone: 718-366-7999 Fax: 718-366-6468
Dr. Doru Ion Buza, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6083 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-628-1010 Fax: 718-380-0235
Dr. Pradeep Sharma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 Seneca Ave, Ridgewood, NY 11385 Phone: 718-821-3777 Fax: 718-821-2858
Rajinder Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1670 Putnam Ave, Ridgewood, NY 11385 Phone: 718-417-7200
Deepak Setia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 Seneca Ave, Ridgewood, NY 11385 Phone: 718-821-1222

Pankaj K Mamtora, MD - Medicare Internal Medicine in Ridgewood, NY