Bethany Medical Clinic Of New York, Pllc - Medicare Primary Care in New York, NY

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Bethany Medical Clinic Of New York, Pllc is a medicare enrolled primary clinic (Internal Medicine) in New York, New York. The current practice location for Bethany Medical Clinic Of New York, Pllc is 222 E 31st St, Suite 1r, New York, New York. For appointments, you can reach them via phone at (646) 509-0943. The mailing address for Bethany Medical Clinic Of New York, Pllc is 222 E 31st St, Suite 1r, New York, New York and phone number is (646) 509-0943.

Bethany Medical Clinic Of New York, Pllc is licensed to practice in New York (license number 262706-1). The clinic also participates in the medicare program and its NPI number is 1902173313. 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) 509-0943.

Contact Information

Bethany Medical Clinic Of New York, Pllc
222 E 31st St
Suite 1r
New York
NY 10016-6333
(646) 509-0943
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBethany Medical Clinic Of New York, Pllc
SpecialityInternal Medicine
Location222 E 31st St, New York, New York
Authorized Official Name and PositionShirin Peters (OWNER)
Authorized Official Contact3368805915
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bethany Medical Clinic Of New York, Pllc
222 E 31st St
Suite 1r
New York
NY 10016-6333

Ph: (646) 509-0943		Bethany Medical Clinic Of New York, Pllc
222 E 31st St
Suite 1r
New York
NY 10016-6333

Ph: (646) 509-0943

NPI Details:

NPI Number1902173313
Provider Enumeration Date11/30/2011
Last Update Date08/01/2013

Medicare PECOS Information:

Medicare PECOS PAC ID2567685472
Medicare Enrollment IDO20140522000416

Medical Identifiers

Medical identifiers for Bethany Medical Clinic Of New York, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902173313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 262706-1 (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. Bethany Medical Clinic Of New York, Pllc acts as a billing entity for following providers:
Provider NameZobidatte Moussa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912066101
PECOS PAC ID: 0345347167
Enrollment ID: I20070512000013
Provider NameLinda J Miller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124101878
PECOS PAC ID: 1254354855
Enrollment ID: I20070530000192
Provider NameShirin S Peters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588960389
PECOS PAC ID: 5597931287
Enrollment ID: I20111230000119
Provider NameSalma Z Pothiawala
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1033438742
PECOS PAC ID: 5193049443
Enrollment ID: I20150115001582
Provider NameMukund Das
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831552397
PECOS PAC ID: 1254764665
Enrollment ID: I20191125002061
Provider NameAsmi Harshad Sanghvi
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1417310152
PECOS PAC ID: 2961819586
Enrollment ID: I20210327000064
Provider NameAsra Hussain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134567563
PECOS PAC ID: 3870915572
Enrollment ID: I20220316000835
Provider NameDanielle Renee Wolman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720391337
PECOS PAC ID: 7315310182
Enrollment ID: I20230224001796
Provider NameRecaredo Berbano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942275748
PECOS PAC ID: 4284612912
Enrollment ID: I20230321000948
Provider NameMichele Gardner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689319485
PECOS PAC ID: 2062871510
Enrollment ID: I20230630003128
Provider NameJasmine Eseul Ham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255104980
PECOS PAC ID: 0547604019
Enrollment ID: I20240223000852

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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.