Dr Junior Omar Gabriel, DPM is a medicare enrolled "Physician Assistant" provider in New York, New York. His current practice location is
53 E 124th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 410-8147.
Dr Junior Omar Gabriel is licensed to practice in New York (license number 026171) 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 1588061311.
Healthcare Provider's Profile
| Full Name | Dr Junior Omar Gabriel |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 53 E 124th St, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588061311
- Provider Enumeration Date: 11/21/2014
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810286895
- Enrollment ID: I20160513001405
Medical Identifiers
Medical identifiers for Dr Junior Omar Gabriel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588061311 | NPI | - | NPPES |
| 304145460 | Other | NY | INTERIM PERMIT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 304145460 (New York) | Secondary |
| 363A00000X | Physician Assistant | 026171 (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. Dr Junior Omar Gabriel allows following entities to bill medicare on his behalf.
| Provider Name | Salvatore Gaudino Dpm Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245474725
PECOS PAC ID: 0648487488
Enrollment ID: O20120720000046 |
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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. Dr Junior Omar Gabriel 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 |
|---|
Dr Junior Omar Gabriel, DPM
53 E 124th St,
New York, NY 10035-1815
Ph: () - | Dr Junior Omar Gabriel, DPM
53 E 124th St,
New York, NY 10035-1815
Ph: (212) 410-8147 |
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