Mark Guelfguat, DO - Medicare Radiology in Staten Island, NY

Mark Guelfguat, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Staten Island, New York. His current practice location is 475 Seaview Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 226-9216.

Mark Guelfguat is licensed to practice in New York (license number 235429-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205873130.

Contact Information

Mark Guelfguat, DO
475 Seaview Ave,
Staten Island, NY 10305-3436
(718) 226-9216
(718) 226-1697

Map and Direction




Physician's Profile

Full NameMark Guelfguat
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location475 Seaview Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205873130
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5698770949
  • Enrollment ID: I20060920000451

Medical Identifiers

Medical identifiers for Mark Guelfguat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205873130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 235429-1 (New York)Primary

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. Mark Guelfguat allows following entities to bill medicare on his behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660
Entity NameHarlem Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487957692
PECOS PAC ID: 9335321223
Enrollment ID: O20110315000005
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171

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. Mark Guelfguat 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
Mark Guelfguat, DO
Po Box 4605,
Warren, NJ 07059-0605

Ph: (718) 876-9030
Mark Guelfguat, DO
475 Seaview Ave,
Staten Island, NY 10305-3436

Ph: (718) 226-9216

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).

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