Willy Gonzalez, - Medicare Family Medicine in Tarrytown, NY

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Willy Gonzalez, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Tarrytown, New York. His current practice location is 200 White Plains Rd Fl 4, Tarrytown, New York. You can reach out to his office (for appointments etc.) via phone at (888) 636-7840.

Willy Gonzalez is licensed to practice in New York (license number 316950) 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 1629516547.

Contact Information

Willy Gonzalez,
200 White Plains Rd Fl 4,
Tarrytown, NY 10591-5838
(888) 636-7840
(267) 479-1321

Map and Direction




Physician's Profile

Full NameWilly Gonzalez
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location200 White Plains Rd Fl 4, Tarrytown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629516547
  • Provider Enumeration Date: 02/11/2017
  • Last Update Date: 04/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395081657
  • Enrollment ID: I20210317000480

Medical Identifiers

Medical identifiers for Willy Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629516547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 25MB11472800 (New Jersey)Secondary
207QS0010XFamily Medicine - Sports Medicine 316950 (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. Willy Gonzalez allows following entities to bill medicare on his behalf.
Entity NameValley Health Partners Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770118648
PECOS PAC ID: 4284065327
Enrollment ID: O20200505003199

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. Willy Gonzalez 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
Willy Gonzalez,
833 Chestnut St Ste 520,
Philadelphia, PA 19107-4430

Ph: (609) 677-7003		Willy Gonzalez,
200 White Plains Rd Fl 4,
Tarrytown, NY 10591-5838

Ph: (888) 636-7840

Reviews and Comments


Family Medicine Doctors in Tarrytown, NY

Liana Greer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 155 White Plains Rd, Tarrytown, NY 10591
Phone: 914-366-0500    
Lawrence Wayne Goldstein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Broadway, 106, Tarrytown, NY 10591
Phone: 914-366-0633    Fax: 914-366-0641
Adam H Makkawi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Tarrytown Road, Tarrytown, NY 10591
Phone: 516-974-6133    

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.