Kenneth Bomparola, PA - Medicare Physician Assistant in New York, NY

Kenneth Bomparola, PA is a medicare enrolled "Physician Assistant" in New York, New York. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 1901 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6262.

Kenneth Bomparola is licensed to practice in New York (license number 015373) 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 1003180803.

Contact Information

Kenneth Bomparola, PA
1901 1st Ave,
New York, NY 10029-7404
(212) 423-6262
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Bomparola
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location1901 1st Ave, New York, 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:
  • Kenneth Bomparola graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1003180803
  • Provider Enumeration Date: 02/27/2012
  • Last Update Date: 03/05/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7618138389
  • Enrollment ID: I20120406000065

Medical Identifiers

Medical identifiers for Kenneth Bomparola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003180803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 015373 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ns/lij Hs Southside HospitalBay shore, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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. Kenneth Bomparola allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Kenneth Bomparola 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
Kenneth Bomparola, PA
316 Carnation Rd,
West Islip, NY 11795-2802

Ph: () -
Kenneth Bomparola, PA
1901 1st Ave,
New York, NY 10029-7404

Ph: (212) 423-6262

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).

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.