Dr Carlos Alfonso Sanchez, DO - Medicare Family Practice in Newark, NJ

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Dr Carlos Alfonso Sanchez, DO is a medicare enrolled "Family Medicine" physician in Newark, New Jersey. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Union County Health Care Associates Llc and his current practice location is 617 Broad St, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (862) 246-7940.

Dr Carlos Alfonso Sanchez is licensed to practice in New York (license number 275285) 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 1255624896.

Contact Information

Dr Carlos Alfonso Sanchez, DO
617 Broad St,
Newark, NJ 07102-4403
(862) 246-7940
(862) 246-7941

Map and Direction




Physician's Profile

Full NameDr Carlos Alfonso Sanchez
GenderMale
SpecialityFamily Practice
Experience16 Years
Location617 Broad St, Newark, New Jersey
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 Carlos Alfonso Sanchez graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1255624896
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 07/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466671433
  • Enrollment ID: I20190813000144

Medical Identifiers

Medical identifiers for Dr Carlos Alfonso Sanchez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255624896NPI-NPPES
02845370MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MB09378700 (New Jersey)Secondary
207Q00000XFamily Medicine 275285 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley HospitalParamus, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Union County Health Care Associates Llc216345095819

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 Carlos Alfonso Sanchez allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameUnion County Health Care Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033271291
PECOS PAC ID: 2163450958
Enrollment ID: O20050802001062
Entity NameWound Healing Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932585445
PECOS PAC ID: 2668789116
Enrollment ID: O20150915003096

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 Carlos Alfonso Sanchez 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 Carlos Alfonso Sanchez, DO
1345 Rxr Plz Fl 13,
Uniondale, NY 11556-1301

Ph: (516) 453-0435		Dr Carlos Alfonso Sanchez, DO
617 Broad St,
Newark, NJ 07102-4403

Ph: (862) 246-7940

Reviews and Comments


Family Medicine Doctors in Newark, NJ

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Dr. Karlene D Williams, MD
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Amanda Mavraj,
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Phone: 973-972-4307    

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).

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