Carlo Ivan Gwardschaladse, PA - Medicare Physician Assistant in Hawthorne, NY

Carlo Ivan Gwardschaladse, PA is a medicare enrolled "Physician Assistant" in Hawthorne, New York. His current practice location is 19 Bradhurst Ave, Hawthorne, New York. You can reach out to his office (for appointments etc.) via phone at (914) 345-0162.

Carlo Ivan Gwardschaladse is licensed to practice in New York (license number 005375) 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 1386639441.

Contact Information

Carlo Ivan Gwardschaladse, PA
19 Bradhurst Ave,
Hawthorne, NY 10532-2139
(914) 345-0162
(914) 347-4401

Map and Direction




Provider's Profile

Full NameCarlo Ivan Gwardschaladse
GenderMale
SpecialityPhysician Assistant
Location19 Bradhurst Ave, Hawthorne, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386639441
  • Provider Enumeration Date: 09/15/2005
  • Last Update Date: 05/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0143297960
  • Enrollment ID: I20040913000301

Medical Identifiers

Medical identifiers for Carlo Ivan Gwardschaladse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386639441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 005375 (New York)Primary

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. Carlo Ivan Gwardschaladse 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
Carlo Ivan Gwardschaladse, PA
95 Grasslands Rd, Munger Pavilion,
Valhalla, NY 10595-1652

Ph: (914) 493-7621
Carlo Ivan Gwardschaladse, PA
19 Bradhurst Ave,
Hawthorne, NY 10532-2139

Ph: (914) 345-0162

Reviews and Comments


Physician Assistant Nurses in Hawthorne, NY

Lorena Analisa Madera, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave Ste 2750s, Hawthorne, NY 10532
Phone: 914-493-2250    Fax: 914-493-2060
Lisa Maria Giovinazzo, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave Ste 2700s, Hawthorne, NY 10532
Phone: 914-493-2280    
Samantha Nicole Nogula, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 19 Bradhurst Ave, Hawthorne, NY 10532
Phone: 845-803-6336    
Sara Pomerantz, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 19 Bradhurst Ave Ste 2850s, Hawthorne, NY 10532
Phone: 914-345-1313    Fax: 914-345-5004
Malka Rubin,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532
Phone: 914-909-9018    Fax: 914-909-9028
Ms. Sarah Elizabeth Schulok, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532
Phone: 914-909-9018    
Evelyn M Sheehan Smedberg, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave Ste 3060n, Hawthorne, NY 10532
Phone: 914-909-9018    Fax: 914-909-9028

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.