Francisco Gallego Valderrama, MD - Medicare Internal Medicine in Newark, NJ

Francisco Gallego Valderrama, MD is a medicare enrolled "Hospitalist" physician in Newark, New Jersey. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cogent Medical Care Pc and his current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 926-7425.

Francisco Gallego Valderrama is licensed to practice in Indiana (license number 01098423A) 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 1275037301.

Contact Information

Francisco Gallego Valderrama, MD
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-7425
Not Available

Map and Direction




Physician's Profile

Full NameFrancisco Gallego Valderrama
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location201 Lyons Ave, 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:
  • Francisco Gallego Valderrama graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1275037301
  • Provider Enumeration Date: 03/22/2018
  • Last Update Date: 01/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577957364
  • Enrollment ID: I20231222001584

Medical Identifiers

Medical identifiers for Francisco Gallego Valderrama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275037301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 64428 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New Jersey)Secondary
208M00000XHospitalist 01098423A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Mount Vernon HospitalMount vernon, NYHospital
Montefiore Medical CenterBronx, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Medical Care Pc7315836780135

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. Francisco Gallego Valderrama allows following entities to bill medicare on his behalf.
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Francisco Gallego Valderrama 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
Francisco Gallego Valderrama, MD
3157 31st St Apt 323,
Astoria, NY 11106-2787

Ph: (917) 972-6690
Francisco Gallego Valderrama, MD
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-7425

Reviews and Comments


Hospitalist Doctors in Newark, NJ

Janaki Jitendrabhai Makadia, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-2164    
Vivek K. Vadehra, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107
Phone: 973-972-0037    Fax: 973-972-9355
Dr. Michael David Bebawy, DO
Hospitalist
Medicare: May Accept Medicare Assignments
Practice Location: 150 Bergen St, Newark, NJ 07103
Phone: 973-972-4300    
Dr. Karina Nicolette Lochan,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 150 Bergen St, Newark, NJ 07103
Phone: 917-584-3671    
Dr. Kanik Pradeep Kathuria, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7425    Fax: 973-926-6130
Dr. James Whitney James, M.D.
Hospitalist
Medicare: May Accept Medicare Assignments
Practice Location: 166 Lyons Ave, Newark, NJ 07112
Phone: 973-926-8491    Fax: 973-926-7361
Dr. Dhvani Doshi, M.D., M.P.H.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 150 Bergen St Rm H245, Newark, NJ 07103
Phone: 973-972-5672    

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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