Dr Gustavo Raul Depetris, MD - Medicare Internal Medicine in Astoria, NY

Dr Gustavo Raul Depetris, MD is a medicare enrolled "Internal Medicine" physician in Astoria, New York. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 2322 30th Ave, 2nd Floor, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at (718) 956-7988.

Dr Gustavo Raul Depetris is licensed to practice in New York (license number 196792) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942226410.

Contact Information

Dr Gustavo Raul Depetris, MD
2322 30th Ave, 2nd Floor,
Astoria, NY 11102-3255
(718) 956-7988
(718) 267-1990

Map and Direction




Physician's Profile

Full NameDr Gustavo Raul Depetris
GenderMale
SpecialityInternal Medicine
Experience35 Years
Location2322 30th Ave, Astoria, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gustavo Raul Depetris graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1942226410
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860455656
  • Enrollment ID: I20041111000944

Medical Identifiers

Medical identifiers for Dr Gustavo Raul Depetris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942226410NPI-NPPES
196792OtherNYLIC ID
01630524MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 196792 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vns Of Ny Home Care ChhaNew york, NYHome health agency
North Shore University HospitalManhasset, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685099

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 Gustavo Raul Depetris allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 Gustavo Raul Depetris 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
Dr Gustavo Raul Depetris, MD
2322 30th Ave, 2nd Floor,
Astoria, NY 11102-3255

Ph: (718) 956-7988
Dr Gustavo Raul Depetris, MD
2322 30th Ave, 2nd Floor,
Astoria, NY 11102-3255

Ph: (718) 956-7988

Reviews and Comments


Internal Medicine Doctors in Astoria, NY

Dr. Sameet Arun Palkhiwala, MD
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Phone: 718-204-7200    Fax: 718-267-0060
Dr. Tarek Mohamed Mousa, MD, PHD
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Phone: 929-208-0080    Fax: 929-208-0010
Dr. Jonathan Paramo, MD
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Phone: 516-708-2550    Fax: 516-708-2597
Constantin C Anagnostopoulos, M.D.
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Tun Win Naing, MD
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Dr. Ranbir Singh, MD
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Medicare: Medicare Enrolled
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Phone: 718-932-1000    
Dr. Michael Plokamakis, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2597 38th Street, Astoria, NY 11103
Phone: 718-626-8119    Fax: 718-777-0573

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.