Vincent Bruzola Dechavez, in Staten Island, NY

Vincent Bruzola Dechavez, is a medicare enrolled "Internal Medicine" physician in Staten Island, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Jordan B. Glaser M.d.p.c, North Shore - Lij Medical Pc and his current practice location is 242 Mason Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (182) 268-7167.

Vincent Bruzola Dechavez is licensed to practice in New York (license number 304191-01) 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 1518352244.

Contact Information

	Vincent Bruzola Dechavez,
	242 Mason Ave, Staten Island, NY 10305-3408
	(182) 268-7167
	Not Available

Map and Direction

Physician's Profile

Full Name	Vincent Bruzola Dechavez
Gender	Male
Speciality	Infectious Disease
Experience	9 Years
Location	242 Mason Ave, Staten Island, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vincent Bruzola Dechavez graduated from medical school in 2015

NPI Data:

NPI Number: 1518352244
Provider Enumeration Date: 03/31/2015
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2163712506
Enrollment ID: I20200731001300

Medical Identifiers

Medical identifiers for Vincent Bruzola Dechavez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518352244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	304191-01 (New York)	Primary
207RI0200X	Internal Medicine - Infectious Disease	304191 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Staten Island University Hospital	Staten island, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jordan B. Glaser M.d.p.c	2163314055	4
North Shore - Lij Medical Pc	3375701568	5120

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. Vincent Bruzola Dechavez allows following entities to bill medicare on his behalf.

Entity Name	Jordan B. Glaser M.d.p.c
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700931359 PECOS PAC ID: 2163314055 Enrollment ID: O20040325001732

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Vincent Bruzola Dechavez 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
Vincent Bruzola Dechavez, 8062 87th Ave, Woodhaven, NY 11421-1916 Ph: (646) 515-9762	Vincent Bruzola Dechavez, 242 Mason Ave, Staten Island, NY 10305-3408 Ph: (182) 268-7167

Reviews and Comments

Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308 Phone: 718-226-7855 Fax: 718-227-5814
Deepak Vadada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611
Dr. Samantha Maria Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9510 Fax: 718-226-3473
Dr. Jean Chalhoub, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305 Phone: 718-226-8855
Dr. Gustave Stephen Drivas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961
Dr. Beatrice Nogueira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6902 Fax: 718-226-6844
Dr. Felicia Tenedios, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314 Phone: 718-447-0055 Fax: 718-876-5212

Vincent Bruzola Dechavez, - Medicare Infectious Disease in Staten Island, NY