Dr Berhane Wubshet, MD - Medicare Internal Medicine in Jamaica, NY

Dr Berhane Wubshet, MD is a medicare enrolled "Internal Medicine" physician in Jamaica, New York. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Blue Nile Medical Pllc, Kingsbrook Medical Associates Pc and his current practice location is 9131 175th St, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at (718) 657-6363.

Dr Berhane Wubshet is licensed to practice in New York (license number 195697) 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 1013963297.

Contact Information

Dr Berhane Wubshet, MD
9131 175th St,
Jamaica, NY 11432-5517
(718) 657-6363
Not Available

Map and Direction




Physician's Profile

Full NameDr Berhane Wubshet
GenderMale
SpecialityInternal Medicine
Experience44 Years
Location9131 175th St, Jamaica, 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 Berhane Wubshet graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1013963297
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 03/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1850304643
  • Enrollment ID: I20060721000048

Medical Identifiers

Medical identifiers for Dr Berhane Wubshet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013963297NPI-NPPES
01669130MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 195697 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Nile Medical Pllc62041964622
Kingsbrook Medical Associates Pc872925202863

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 Berhane Wubshet allows following entities to bill medicare on his behalf.
Entity NameKingsbrook Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104112838
PECOS PAC ID: 8729252028
Enrollment ID: O20111123000332
Entity NameBlue Nile Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003322108
PECOS PAC ID: 6204196462
Enrollment ID: O20180207002634

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 Berhane Wubshet 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 Berhane Wubshet, MD
3054 Ann St,
Baldwin, NY 11510-4501

Ph: (718) 272-0977
Dr Berhane Wubshet, MD
9131 175th St,
Jamaica, NY 11432-5517

Ph: (718) 657-6363

Reviews and Comments


Internal Medicine Doctors in Jamaica, NY

Dr. David Mallin, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418
Phone: 718-206-6000    
Mark Safford, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8268 164th St, A-368, Jamaica, NY 11432
Phone: 718-883-4653    
Julie Patel-pannullo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180-05 Hillside Ave, Jamaica, NY 11432
Phone: 718-526-6300    Fax: 718-262-7064
Dr. Rom M Gupta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17561 Hillside Ave Ste 402, Jamaica, NY 11432
Phone: 718-291-0488    Fax: 718-291-0888
Dr. Babu M Joseph, M.D
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 10753 Guy R Brewer Blvd, Jamaica, NY 11433
Phone: 718-523-5776    Fax: 718-526-1132
Sailaja Sivareddy, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8924 146th St, Jamaica, NY 11435
Phone: 718-715-1764    Fax: 718-885-9311

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.