Dr Roselia Guillen-santana, MD - Medicare Pediatrics in Arverne, NY

Dr Roselia Guillen-santana, MD is a medicare enrolled "Pediatrics" physician in Arverne, New York. Her current practice location is 6200 Beach Channel Dr, Arverne, New York. You can reach out to her office (for appointments etc.) via phone at (718) 945-7150.

Dr Roselia Guillen-santana is licensed to practice in New York (license number 240701) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235140922.

Contact Information

Dr Roselia Guillen-santana, MD
6200 Beach Channel Dr,
Arverne, NY 11692-1409
(718) 945-7150
Not Available

Map and Direction




Physician's Profile

Full NameDr Roselia Guillen-santana
GenderFemale
SpecialityPediatrics
Location6200 Beach Channel Dr, Arverne, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235140922
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9537385372
  • Enrollment ID: I20180920002101

Medical Identifiers

Medical identifiers for Dr Roselia Guillen-santana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235140922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 240701 (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. Dr Roselia Guillen-santana allows following entities to bill medicare on her behalf.
Entity NameSouth Nassau Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902891781
PECOS PAC ID: 4688563463
Enrollment ID: O20040311000216
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375
Entity NameMount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508127531
PECOS PAC ID: 6406096544
Enrollment ID: O20130712000368

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 Roselia Guillen-santana 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 Roselia Guillen-santana, MD
222 Hoffman St,
Franklin Square, NY 11010-2321

Ph: (516) 673-4135
Dr Roselia Guillen-santana, MD
6200 Beach Channel Dr,
Arverne, NY 11692-1409

Ph: (718) 945-7150

Reviews and Comments


Pediatrics Doctors in Arverne, NY

Abimbola Oduguwa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6200 Beach Channel Dr, Arverne, NY 11692
Phone: 718-945-7150    
Dr. Betty A Chua, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6200 Beach Channel Dr, Arverne, NY 11692
Phone: 718-945-7150    
Dr. Sanga Bunyavanich, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6200 Beach Channel Dr, Arverne, NY 11692
Phone: 718-945-7150    Fax: 718-663-6133

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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