Northern Medical Group, Pllc - Medicare in Brewster, NY

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Northern Medical Group, Pllc is a medicare enrolled "Internal Medicine" provider in Brewster, New York. Their current practice location is 111 Clock Tower Cmns, Brewster, New York. You can reach out to their office (for appointments etc.) via phone at (845) 592-4915.

Northern Medical Group, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northern Medical Group, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174994826.

Contact Information

Northern Medical Group, Pllc
111 Clock Tower Cmns,
Brewster, NY 10509-4055
(845) 592-4915
(845) 592-4914

Map and Direction




Healthcare Provider's Profile

Full NameNorthern Medical Group, Pllc
TypeFacility
SpecialityInternal Medicine
Location111 Clock Tower Cmns, Brewster, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174994826
  • Provider Enumeration Date: 10/07/2015
  • Last Update Date: 02/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901104157
  • Enrollment ID: O20160421000442

Medical Identifiers

Medical identifiers for Northern Medical Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174994826NPI-NPPES
04755717MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (Not Available))Secondary
207RX0202XInternal Medicine - Medical Oncology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northern Medical Group, Pllc acts as a billing entity for following providers:
Provider NameArthur Walczyk
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003800723
PECOS PAC ID: 0547164139
Enrollment ID: I20031125000356
Provider NameJoseph Racanelli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639194921
PECOS PAC ID: 8426941675
Enrollment ID: I20040205000171
Provider NameThomas R Castiglia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457326845
PECOS PAC ID: 1759371602
Enrollment ID: I20040513001098
Provider NameSadhis Rivas
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1659445427
PECOS PAC ID: 0840281317
Enrollment ID: I20040522000008
Provider NameLisa Fisher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336165471
PECOS PAC ID: 6305829896
Enrollment ID: I20040607001444
Provider NameAdel Ramsey Abadir
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1760407068
PECOS PAC ID: 4880670546
Enrollment ID: I20040624001697
Provider NameMichele Marie Greco
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871561076
PECOS PAC ID: 3173503489
Enrollment ID: I20040726000434
Provider NameRenita Danette Butler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851398697
PECOS PAC ID: 9830140680
Enrollment ID: I20050209000311
Provider NameKenneth K Hansraj
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1609942986
PECOS PAC ID: 6204880073
Enrollment ID: I20050420000624
Provider NameRavi Hotchandani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477547198
PECOS PAC ID: 7618983925
Enrollment ID: I20060223000564
Provider NamePaul D Burrows
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1023002748
PECOS PAC ID: 3971519216
Enrollment ID: I20060224000024
Provider NameMohammad S Choudhry
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144270828
PECOS PAC ID: 3870505985
Enrollment ID: I20060607000243
Provider NameMichael Steckman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1285615823
PECOS PAC ID: 0244235513
Enrollment ID: I20060919000521
Provider NameVeeranna Choudary Merla
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1871540757
PECOS PAC ID: 7517928005
Enrollment ID: I20070606000733
Provider NameRobert A Gal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356396675
PECOS PAC ID: 8729150248
Enrollment ID: I20080627000454
Provider NameSuresh Chandani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275586158
PECOS PAC ID: 9739253410
Enrollment ID: I20080729000442
Provider NameSubhash Kulkarni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174517346
PECOS PAC ID: 0143352609
Enrollment ID: I20100719000572
Provider NameMartha Bouchard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467439893
PECOS PAC ID: 2860517372
Enrollment ID: I20100921000095
Provider NameGlenn Legler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578540886
PECOS PAC ID: 9830214360
Enrollment ID: I20100921000279
Provider NameMaddipoti Choudry
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053398495
PECOS PAC ID: 3476581554
Enrollment ID: I20100921000661
Provider NameThomas N Koutelos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679647465
PECOS PAC ID: 7315121282
Enrollment ID: I20110418000803
Provider NameLawrence Cicchiello
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740451152
PECOS PAC ID: 6800929969
Enrollment ID: I20110614000741
Provider NameAnita Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295712594
PECOS PAC ID: 6507036266
Enrollment ID: I20110907001233
Provider NameNicos Nicolaou
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1083989859
PECOS PAC ID: 0547418998
Enrollment ID: I20120911000006
Provider NameSin Ty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457783797
PECOS PAC ID: 3779719463
Enrollment ID: I20131203000407
Provider NameSmrita Sinha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184872848
PECOS PAC ID: 6204071806
Enrollment ID: I20140912001222
Provider NameSubbarao Choudry
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1255506366
PECOS PAC ID: 9335360916
Enrollment ID: I20141023001900
Provider NameChandra L Naik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902239742
PECOS PAC ID: 6204139074
Enrollment ID: I20160128001321
Provider NameUsha Devi Veeramachaneni
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295831881
PECOS PAC ID: 6709183692
Enrollment ID: I20160321000232
Provider NameGurvinder K Virk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831538909
PECOS PAC ID: 6507164621
Enrollment ID: I20160406000286
Provider NameSadra Azizi-ghannad
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639435084
PECOS PAC ID: 0446542872
Enrollment ID: I20160706000451
Provider NameVivek V Patil
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144456484
PECOS PAC ID: 1456670629
Enrollment ID: I20160722000332
Provider NameCorey J Haber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598856841
PECOS PAC ID: 8921016890
Enrollment ID: I20160816002444
Provider NameMohan Singh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831290774
PECOS PAC ID: 0547555039
Enrollment ID: I20160823001575
Provider NameVarinder S Rathore
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619094802
PECOS PAC ID: 2163711763
Enrollment ID: I20161101001531
Provider NameSachin Kumar Amruthlal Jain
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134384951
PECOS PAC ID: 1355586777
Enrollment ID: I20170913002960
Provider NameSmitha John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275050684
PECOS PAC ID: 7517232556
Enrollment ID: I20171002001931
Provider NameAleena Ashok Malayil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932626520
PECOS PAC ID: 6204101256
Enrollment ID: I20171002002181
Provider NameJeanean G Aming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073957544
PECOS PAC ID: 1153684923
Enrollment ID: I20180409000112
Provider NameSameer Dhalla
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417121898
PECOS PAC ID: 1557507936
Enrollment ID: I20180604000564
Provider NameJennifer M Hoben
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871087676
PECOS PAC ID: 5597099150
Enrollment ID: I20190702000778
Provider NameNighat Farah Saeed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780086355
PECOS PAC ID: 2264653872
Enrollment ID: I20210322001721
Provider NameJudi L. Siebold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710307343
PECOS PAC ID: 6608285184
Enrollment ID: I20210513001271
Provider NameKamal Said Farha
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164954897
PECOS PAC ID: 8022419282
Enrollment ID: I20210624002783
Provider NameNeeraj Hotchandani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952830986
PECOS PAC ID: 5496146912
Enrollment ID: I20211216002825
Provider NameArundhuti Momen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124413877
PECOS PAC ID: 9234477563
Enrollment ID: I20220202001610
Provider NameJustin Chua
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154856755
PECOS PAC ID: 7315276110
Enrollment ID: I20220811003007
Provider NameAmy Gail Ruzol Amarga
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851853386
PECOS PAC ID: 1456734003
Enrollment ID: I20220816000610
Provider NameAmro A Nassar
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1679004089
PECOS PAC ID: 5092051870
Enrollment ID: I20230801000993
Provider NameRochelle Amanda Foote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659156214
PECOS PAC ID: 2062954001
Enrollment ID: I20240606000485

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. Northern Medical Group, Pllc 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
Northern Medical Group, Pllc
111 Clock Tower Cmns,
Brewster, NY 10509-4055

Ph: (845) 592-4915		Northern Medical Group, Pllc
111 Clock Tower Cmns,
Brewster, NY 10509-4055

Ph: (845) 592-4915

Reviews and Comments



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.