Johnny G Kovoor, is a medicare enrolled "Specialist" physician in Yonkers, New York. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice South Yonkers Family Medicine Pllc and his current practice location is
30 Kimball Ave, Yonkers, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 237-8282.
Johnny G Kovoor is licensed to practice in New York (license number 228788) 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 1750382966.
Physician's Profile
| Full Name | Johnny G Kovoor |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 30 Kimball Ave, Yonkers, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Johnny G Kovoor graduated from medical school in 1995
NPI Data:
- NPI Number: 1750382966
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981595204
- Enrollment ID: I20040324000483
Medical Identifiers
Medical identifiers for Johnny G Kovoor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750382966 | NPI | - | NPPES |
| 000000095726 | Other | NY | GHI HMO # |
| 228788 | Other | NY | HIP# |
| 1310P1 | Other | NY | EMPIRE BC/BS (YONKERS) # |
| 02466448 | Medicaid | NY | |
| P2927478 | Other | NY | OXFORD# |
| 1310P12 | Other | NY | EMPIRE BC/BS (NEW YORK) # |
| 5996377 | Other | NY | GHI PPO # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 228788 (New York) | Secondary |
| 174400000X | Specialist | 228788 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Yonkers Family Medicine Pllc | 2668424326 | 2 |
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. Johnny G Kovoor allows following entities to bill medicare on his behalf.
| Entity Name | South Yonkers Family Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568402972
PECOS PAC ID: 2668424326
Enrollment ID: O20050210000896 |
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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. Johnny G Kovoor 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 Address | Practice Location Address |
|---|
Johnny G Kovoor,
30 Kimball Ave,
Yonkers, NY 10704-4221
Ph: (914) 237-8282 | Johnny G Kovoor,
30 Kimball Ave,
Yonkers, NY 10704-4221
Ph: (914) 237-8282 |
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