Gilberto A Velez, MD - Medicare Pediatric Medicine in New York, NY

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Gilberto A Velez, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in New York, New York. He went to University Of Puerto Rico School Of Medicine and graduated in 1975 and has 51 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Physician Affiliate Group Of New York Pc and his current practice location is 1901 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6313.

Gilberto A Velez is licensed to practice in New York (license number 132510) 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 1962402156.

Contact Information

Gilberto A Velez, MD
1901 1st Ave,
New York, NY 10029-7494
(212) 423-6313
(212) 423-7697

Map and Direction




Physician's Profile

Full NameGilberto A Velez
GenderMale
SpecialityPediatric Medicine
Experience51 Years
Location1901 1st Ave, 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:
  • Gilberto A Velez attended and graduated from University Of Puerto Rico School Of Medicine in 1975
  NPI Data:
  • NPI Number: 1962402156
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 01/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204859754
  • Enrollment ID: I20060110001111

Medical Identifiers

Medical identifiers for Gilberto A Velez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962402156NPI-NPPES
00319282MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 132510 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Affiliate Group Of New York Pc46880988331222

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. Gilberto A Velez allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Medical Practice Plan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NamePhysician Affiliate Group of New York PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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. Gilberto A Velez 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
Gilberto A Velez, MD
503 Grasslands Rd, Ste 200,
Valhalla, NY 10595-1503

Ph: (914) 304-5288		Gilberto A Velez, MD
1901 1st Ave,
New York, NY 10029-7494

Ph: (212) 423-6313

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.