Rafael Guzman, MD - Medicare Family Practice in Utica, NY

Rafael Guzman, MD is a medicare enrolled "Family Medicine" physician in Utica, New York. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mvhs Inc and his current practice location is 1656 Champlin Ave, Utica, New York. You can reach out to his office (for appointments etc.) via phone at (315) 624-6829.

Rafael Guzman is licensed to practice in New York (license number 299929) 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 1750730016.

Contact Information

Rafael Guzman, MD
1656 Champlin Ave,
Utica, NY 13502-4830
(315) 624-6829
Not Available

Map and Direction




Physician's Profile

Full NameRafael Guzman
GenderMale
SpecialityFamily Practice
Experience33 Years
Location1656 Champlin Ave, Utica, 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:
  • Rafael Guzman graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1750730016
  • Provider Enumeration Date: 06/08/2016
  • Last Update Date: 06/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244568038
  • Enrollment ID: I20190816002444

Medical Identifiers

Medical identifiers for Rafael Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750730016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 299929 (New Mexico)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 299929 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Faxton-st Luke's HealthcareUtica, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mvhs Inc2769380252296

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. Rafael Guzman allows following entities to bill medicare on his behalf.
Entity NameMvhs Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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. Rafael Guzman 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
Rafael Guzman, MD
2209 Genesee St, Business Office Room 315,
Utica, NY 13501-1807

Ph: (315) 801-8534
Rafael Guzman, MD
1656 Champlin Ave,
Utica, NY 13502-4830

Ph: (315) 624-6829

Reviews and Comments


Family Medicine Doctors in Utica, NY

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Sun Yoo, MD
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Phone: 315-798-1149    Fax: 315-734-3565

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.