Stephanie Spano, MD - Medicare Interventional Radiology in Bronx, NY

Stephanie Spano, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Bronx, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Fordham Medical Of New York Llc, Bushwick Medical Of New York Llc, St Nicholas Professional Medical Services Of New York Llc and her current practice location is 11 E Fordham Rd, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (855) 615-2555.

Stephanie Spano is licensed to practice in New York (license number 313960) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538515523.

Contact Information

Stephanie Spano, MD
11 E Fordham Rd,
Bronx, NY 10468-5406
(855) 615-2555
Not Available

Map and Direction




Physician's Profile

Full NameStephanie Spano
GenderFemale
SpecialityInterventional Radiology
Experience8 Years
Location11 E Fordham Rd, Bronx, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Spano attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1538515523
  • Provider Enumeration Date: 05/09/2016
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315330735
  • Enrollment ID: I20220208001236

Medical Identifiers

Medical identifiers for Stephanie Spano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538515523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 313960 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fordham Medical Of New York Llc428497262118
Bushwick Medical Of New York Llc509206826219
St Nicholas Professional Medical Services Of New York Llc76182314576

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. Stephanie Spano allows following entities to bill medicare on her behalf.
Entity NameNew York Professional Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639518848
PECOS PAC ID: 9537483565
Enrollment ID: O20150123000194
Entity NameValley Stream Professional Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356739668
PECOS PAC ID: 0840517710
Enrollment ID: O20150402002087
Entity NameRadiology Associates Of Wyoming Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174528707
PECOS PAC ID: 2365355906
Enrollment ID: O20170825000847
Entity NamePelham Pkwy Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285156067
PECOS PAC ID: 4082976386
Enrollment ID: O20180327000712
Entity NameMott Haven Professional Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922525781
PECOS PAC ID: 5193088946
Enrollment ID: O20180410001065
Entity NameSt Nicholas Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033631064
PECOS PAC ID: 7618231457
Enrollment ID: O20180503001031
Entity NamePelham Pkwy Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063926962
PECOS PAC ID: 9335404557
Enrollment ID: O20180517001134
Entity NameQueens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184138091
PECOS PAC ID: 2062777527
Enrollment ID: O20180604001787
Entity NameJamaica Queens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578080966
PECOS PAC ID: 0042575557
Enrollment ID: O20180605000934
Entity NameFoxhurst Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366956260
PECOS PAC ID: 4688929771
Enrollment ID: O20180613001476
Entity NameFoxhurst Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730547522
PECOS PAC ID: 6901151778
Enrollment ID: O20180619001805
Entity NameBushwick Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720565922
PECOS PAC ID: 5092068262
Enrollment ID: O20181106000485
Entity NameNorwood Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528547312
PECOS PAC ID: 4183977366
Enrollment ID: O20181106000914
Entity NameBushwick Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003393299
PECOS PAC ID: 0648516617
Enrollment ID: O20190111001240
Entity NameFordham Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205332905
PECOS PAC ID: 4284972621
Enrollment ID: O20190211002377
Entity NameSyracuse Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457983181
PECOS PAC ID: 1355770553
Enrollment ID: O20200409002928
Entity NameEmpire State Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255962783
PECOS PAC ID: 4385075241
Enrollment ID: O20200508000320
Entity NameSyracuse Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487287975
PECOS PAC ID: 3476978578
Enrollment ID: O20200806002203

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. Stephanie Spano 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
Stephanie Spano, MD
1775 York Ave Apt 5h,
New York, NY 10128-6906

Ph: (917) 817-0924
Stephanie Spano, MD
11 E Fordham Rd,
Bronx, NY 10468-5406

Ph: (855) 615-2555

Reviews and Comments


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