Andrew J Restivo, MD is a medicare enrolled "Emergency Medicine" physician in Long Is City, New York. His current practice location is
4751 40th St, Long Is City, New York. You can reach out to his office (for appointments etc.) via phone at
(347) 724-7265.
Andrew J Restivo is licensed to practice in New York (license number 260475) 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 1376840850.
Physician's Profile
| Full Name | Andrew J Restivo |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 4751 40th St, Long Is City, 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. |
NPI Data:
- NPI Number: 1376840850
- Provider Enumeration Date: 02/18/2011
- Last Update Date: 02/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092991448
- Enrollment ID: I20110519000073
Medical Identifiers
Medical identifiers for Andrew J Restivo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376840850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 260475 (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. Andrew J Restivo allows following entities to bill medicare on his behalf.
| Entity Name | Phelps Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720185267 PECOS PAC ID: 1658283981 Enrollment ID: O20031104000490 |
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| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
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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. Andrew J Restivo 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 |
Andrew J Restivo, MD 4751 40th St, Long Is City, NY 11104-4052 Ph: (347) 724-7265 | Andrew J Restivo, MD 4751 40th St, Long Is City, NY 11104-4052 Ph: (347) 724-7265 |
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