Edward Brettholz, MD - Medicare Gastroenterology in New York, NY

Edward Brettholz, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in New York, New York. He went to George Washington University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Vanguard Gastroenterology Llp and his current practice location is 232 E 30th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 889-5544.

Edward Brettholz is licensed to practice in New York (license number 165247) 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 1093739393.

Contact Information

Edward Brettholz, MD
232 E 30th St,
New York, NY 10016-8202
(212) 889-5544
(212) 481-1089

Map and Direction




Physician's Profile

Full NameEdward Brettholz
GenderMale
SpecialityGastroenterology
Experience45 Years
Location232 E 30th St, New York, 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:
  • Edward Brettholz attended and graduated from George Washington University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1093739393
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 01/24/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9830186881
  • Enrollment ID: I20040429001411

Medical Identifiers

Medical identifiers for Edward Brettholz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093739393NPI-NPPES
01683036MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 165247 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vanguard Gastroenterology Llp10527445889

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. Edward Brettholz allows following entities to bill medicare on his behalf.
Entity NameVanguard Gastroenterology Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720639388
PECOS PAC ID: 1052744588
Enrollment ID: O20191213001232

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. Edward Brettholz 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
Edward Brettholz, MD
316 E 30th St, 2nd Floor,
New York, NY 10016-8366

Ph: (212) 614-0039
Edward Brettholz, MD
232 E 30th St,
New York, NY 10016-8202

Ph: (212) 889-5544

Reviews and Comments


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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.