John P Franchina, DO - Medicare Obstetrics/gynecology in Babylon, NY

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John P Franchina, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Babylon, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Optum Medical Care Pc and his current practice location is 400 W Main St, Suite 330, Babylon, New York. You can reach out to his office (for appointments etc.) via phone at (631) 321-1239.

John P Franchina is licensed to practice in New York (license number 230848) 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 1457446569.

Contact Information

John P Franchina, DO
400 W Main St, Suite 330,
Babylon, NY 11702-3012
(631) 321-1239
(631) 422-0170

Map and Direction




Physician's Profile

Full NameJohn P Franchina
GenderMale
SpecialityObstetrics/gynecology
Experience24 Years
Location400 W Main St, Babylon, 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:
  • John P Franchina attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2000
  NPI Data:
  • NPI Number: 1457446569
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 09/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3678539285
  • Enrollment ID: I20041206000710

Medical Identifiers

Medical identifiers for John P Franchina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457446569NPI-NPPES
0136447OtherNYGHI
3450697OtherNYAETNA
P3402911OtherNYOXFORD
346739POtherNYHIP
5C8276OtherNYHEALTHNET
230848OtherNYHIP
001GQ1OtherNYBCBS
7593543OtherNYAETNA
866E41OtherNYBCBS
3694573OtherNYCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 230848 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Hospital Medical CenterWest islip, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Medical Care Pc9931013240997

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. John P Franchina allows following entities to bill medicare on his behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameGood Samaritan Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518901180
PECOS PAC ID: 5294639951
Enrollment ID: O20031124000491
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375

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. John P Franchina 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
John P Franchina, DO
26 Railroad Ave, #217,
Babylon, NY 11702-2204

Ph: (631) 321-1239		John P Franchina, DO
400 W Main St, Suite 330,
Babylon, NY 11702-3012

Ph: (631) 321-1239

Reviews and Comments


Obstetrics & Gynecology Doctors in Babylon, NY

Dr. John David Zimmerly, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 454 Deer Park Ave, Babylon, NY 11702
Phone: 631-321-5440    

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.