Dr Carl Guillaume, MD - Medicare Gastroenterology in Bronx, NY

Dr Carl Guillaume, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Bronx, New York. He went to New York Medical College and graduated in 1992 and has 32 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Medical Associates, P.c. and his current practice location is 4422 3rd Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 960-6205.

Dr Carl Guillaume is licensed to practice in New York (license number 210261) 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 1528098118.

Contact Information

Dr Carl Guillaume, MD
4422 3rd Ave,
Bronx, NY 10457-2545
(718) 960-6205
Not Available

Map and Direction




Physician's Profile

Full NameDr Carl Guillaume
GenderMale
SpecialityGastroenterology
Experience32 Years
Location4422 3rd Ave, Bronx, 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 Carl Guillaume attended and graduated from New York Medical College in 1992
  NPI Data:
  • NPI Number: 1528098118
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264421973
  • Enrollment ID: I20040508000059

Medical Identifiers

Medical identifiers for Dr Carl Guillaume such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528098118NPI-NPPES
01947988MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 210261 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Associates, P.c.22645061792

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 Carl Guillaume allows following entities to bill medicare on his behalf.
Entity NameMedical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659539781
PECOS PAC ID: 2264506179
Enrollment ID: O20080811000089
Entity NameMorris Heights Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184694291
PECOS PAC ID: 3072798172
Enrollment ID: O20110505000508

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 Carl Guillaume 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 Carl Guillaume, MD
4422 3rd Ave,
Bronx, NY 10457-2545

Ph: (718) 960-6205
Dr Carl Guillaume, MD
4422 3rd Ave,
Bronx, NY 10457-2545

Ph: (718) 960-6205

Reviews and Comments


Internal Medicine Doctors in Bronx, NY

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Benjamin Tuttle Hayes, MD
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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.