Augusto A Zevallos, MD is a medicare enrolled "Family Medicine" physician in Ridgewood, New York. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ny Total Medical Care, P.c. and his current practice location is
351 Onderdonk Ave, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 418-3335.
Augusto A Zevallos is licensed to practice in New York (license number 214540) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962547331.
Physician's Profile
| Full Name | Augusto A Zevallos |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 39 Years |
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| Location | 351 Onderdonk Ave, Ridgewood, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Augusto A Zevallos graduated from medical school in 1985
NPI Data:
- NPI Number: 1962547331
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 03/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 4183710536
- Enrollment ID: I20071016000150
Medical Identifiers
Medical identifiers for Augusto A Zevallos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962547331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 214540 (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. Augusto A Zevallos allows following entities to bill medicare on his behalf.
| Entity Name | Ny Total Medical Care, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275625428
PECOS PAC ID: 9638077399
Enrollment ID: O20100204000010 |
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| Entity Name | Good Medical Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114477817
PECOS PAC ID: 9436439866
Enrollment ID: O20161201000369 |
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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. Augusto A Zevallos 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 |
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Augusto A Zevallos, MD
511 Plato St,
Franklin Square, NY 11010-3351
Ph: (718) 418-3335 | Augusto A Zevallos, MD
351 Onderdonk Ave,
Ridgewood, NY 11385-1334
Ph: (718) 418-3335 |
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