<unavail> in Bronx, NY - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Bronx, New York. The current practice location for is 915 Westchester Ave, Bronx, New York. For appointments, you can reach them via phone at (646) 224-9300. The mailing address for is 311 E 175th St, Bronx, New York and phone number is (718) 960-7568.

is licensed to practice in New York (license number 7000265R). The clinic also participates in the medicare program and its NPI number is 1568492718. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (646) 224-9300.

Contact Information


	915 Westchester Ave Bronx NY 10459
	(646) 224-9300
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	915 Westchester Ave, Bronx, New York
Authorized Official Name and Position	Vicky Gatell (CHIEF FINANCIAL OFFICER)
Authorized Official Contact	7189607629
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
311 E 175th St Bronx NY 10457-5859 Ph: (718) 960-7568	915 Westchester Ave Bronx NY 10459 Ph: (646) 224-9300

NPI Details:

NPI Number	1568492718
Provider Enumeration Date	07/04/2006
Last Update Date	09/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	7810095890
Medicare Enrollment ID	O20070614000661

Medical Identifiers

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

Identifier	Type	State	Issuer
1568492718	NPI	-	NPPES
02478953	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	7000265R (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. acts as a billing entity for following providers:

Provider Name	David Collymore
Provider Type	Practitioner - Pediatric Medicine
Provider Identifiers	NPI Number: 1023000353 PECOS PAC ID: 4981696283 Enrollment ID: I20040330000518

Provider Name	Shannon R Dingle
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1982157137 PECOS PAC ID: 3274873013 Enrollment ID: I20190314000990

Reviews and Comments

Clinic/Center in Bronx, NY

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- Medicare Primary Care in Bronx, NY