Carlos Rios, PA-C - Medicare Physician Assistant in Plainview, NY

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Carlos Rios, PA-C is a medicare enrolled "Physician Assistant" in Plainview, New York. He graduated from nursing school in 1990 and has 36 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is 1117 Old Country Rd, Plainview, New York. You can reach out to his office (for appointments etc.) via phone at (516) 938-5900.

Carlos Rios is licensed to practice in New York (license number 003774) 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 1366459182.

Contact Information

Carlos Rios, PA-C
1117 Old Country Rd,
Plainview, NY 11803-5019
(516) 938-5900
(516) 495-4577

Map and Direction




Provider's Profile

Full NameCarlos Rios
GenderMale
SpecialityPhysician Assistant
Experience36 Years
Location1117 Old Country Rd, Plainview, 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:
  • Carlos Rios graduated from nursing school in 1990
  NPI Data:
  • NPI Number: 1366459182
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 12/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840289518
  • Enrollment ID: I20040507001188

Medical Identifiers

Medical identifiers for Carlos Rios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366459182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003774 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Medical Of Upper East Side Pllc0648465039658

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. Carlos Rios allows following entities to bill medicare on his behalf.
Entity NameSamaritan Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104978014
PECOS PAC ID: 7012016660
Enrollment ID: O20070621000503
Entity NameCity Medical of Upper East Side PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052

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. Carlos Rios 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
Carlos Rios, PA-C
1345 Rxr Plz Fl 13,
Uniondale, NY 11556-1301

Ph: (516) 453-0435		Carlos Rios, PA-C
1117 Old Country Rd,
Plainview, NY 11803-5019

Ph: (516) 938-5900

Reviews and Comments


Physician Assistant Nurses in Plainview, NY

Amrinder Jawandha, PA-C
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Practice Location: 888 Old Country Rd, Plainview, NY 11803
Phone: 516-719-3000    
Urooj Shabbir, PA-C
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Practice Location: 255 Executive Dr Ste 210b, Plainview, NY 11803
Phone: 516-687-9563    
Jeffrey Calderon,
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Phone: 516-822-9730    
Jessica Bernstein,
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Phone: 516-418-0203    
John Guerra, PHYSICIAN ASSISTANT
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Practice Location: 888 Old Country Rd, Plainview, NY 11803
Phone: 631-387-3336    
Nathalie Theresa Sejour, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 131 E Ames Ct, Plainview, NY 11803
Phone: 516-414-5865    
Rebecca Timoney, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 146a Manetto Hill Rd Ste 100, Plainview, NY 11803
Phone: 516-200-4814    

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.