Dr Rafael A Guillen, MD - Medicare Internal Medicine in Bronx, NY

Dr Rafael A Guillen, MD is a medicare enrolled "Internal Medicine" physician in Bronx, New York. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice North Shore Medical Group Of The Mount Sinai School Of Medicine and his current practice location is 800 Grand Concourse Frnt Office5, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 401-2300.

Dr Rafael A Guillen is licensed to practice in New York (license number 233234) 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 1861430076.

Contact Information

Dr Rafael A Guillen, MD
800 Grand Concourse Frnt Office5,
Bronx, NY 10451-3003
(718) 401-2300
(718) 401-2322

Map and Direction




Physician's Profile

Full NameDr Rafael A Guillen
GenderMale
SpecialityInternal Medicine
Experience37 Years
Location800 Grand Concourse Frnt Office5, Bronx, 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 Rafael A Guillen graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1861430076
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 05/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901851807
  • Enrollment ID: I20050314000683

Medical Identifiers

Medical identifiers for Dr Rafael A Guillen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861430076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 233234 (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. Dr Rafael A Guillen allows following entities to bill medicare on his behalf.
Entity NameNorth Shore Medical Group Of The Mount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275640609
PECOS PAC ID: 8921999087
Enrollment ID: O20040320000412
Entity NameR Guillen Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467612499
PECOS PAC ID: 4486726478
Enrollment ID: O20080708000629

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 Rafael A Guillen 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 Rafael A Guillen, MD
800 Grand Concourse Frnt Office5,
Bronx, NY 10451-3003

Ph: (718) 401-2300
Dr Rafael A Guillen, MD
800 Grand Concourse Frnt Office5,
Bronx, NY 10451-3003

Ph: (718) 401-2300

Reviews and Comments


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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).

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