<unavail> in New York, NY - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in New York, New York. The current practice location for is 100 E Broadway Unit C-1, New York, New York. For appointments, you can reach them via phone at (917) 563-1111. The mailing address for is 3147 137th St Ste Cf, Flushing, New York and phone number is (917) 563-1111.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407485667. 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 (917) 563-1111.

Contact Information


	100 E Broadway Unit C-1 New York NY 10002-7188
	(917) 563-1111
	(929) 352-4214

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	100 E Broadway Unit C-1, New York, New York
Authorized Official Name and Position	Guoqiong Katherine Qu (PRESIDENT AND OWNER)
Authorized Official Contact	4104411218
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3147 137th St Ste Cf Flushing NY 11354-2667 Ph: (917) 563-1111	100 E Broadway Unit C-1 New York NY 10002-7188 Ph: (917) 563-1111

NPI Details:

NPI Number	1407485667
Provider Enumeration Date	04/08/2020
Last Update Date	06/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7416370770
Medicare Enrollment ID	O20200706002355

Medical Identifiers

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

Identifier	Type	State	Issuer
1407485667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208D00000X	General Practice	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	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	Guoqiong Katherine Qu
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1154841088 PECOS PAC ID: 5597025775 Enrollment ID: I20180208000449

Reviews and Comments

Clinic/Center in New York, NY

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Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181

- Medicare Primary Care in New York, NY