Roya O'neal, MD - Medicare Pediatrics in New York, NY

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Roya O'neal, MD is a medicare enrolled "Pediatrics" physician in New York, New York. Her current practice location is 3959 Broadway, Vc4, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 305-7623.

Roya O'neal is licensed to practice in California (license number A108017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487970869.

Contact Information

Roya O'neal, MD
3959 Broadway, Vc4,
New York, NY 10032-1559
(212) 305-7623
Not Available

Map and Direction




Physician's Profile

Full NameRoya O'neal
GenderFemale
SpecialityPediatrics
Location3959 Broadway, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487970869
  • Provider Enumeration Date: 04/11/2010
  • Last Update Date: 05/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082898192
  • Enrollment ID: I20221122003401

Medical Identifiers

Medical identifiers for Roya O'neal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487970869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A108017 (California)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. Roya O'neal allows following entities to bill medicare on her behalf.
Entity NameMgmc LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891797148
PECOS PAC ID: 9537073119
Enrollment ID: O20031220000056
Entity NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameMedstar Medical Group II LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415

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. Roya O'neal 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
Roya O'neal, MD
3959 Broadway, Vc4,
New York, NY 10032-1559

Ph: Not Available		Roya O'neal, MD
3959 Broadway, Vc4,
New York, NY 10032-1559

Ph: (212) 305-7623

Reviews and Comments


Pediatrics Doctors in New York, NY

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Robert Mitchell Angert, M.D.
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Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-7477    Fax: 646-754-7530

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.