Mr Kelvin Omonzane, - Medicare Nurse Practitioner in Brooklyn, NY

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Mr Kelvin Omonzane, is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. His current practice location is 6323 7th Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 654-3561.

Mr Kelvin Omonzane is licensed to practice in New York (license number 338383) 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 1942716469.

Contact Information

Mr Kelvin Omonzane,
6323 7th Ave,
Brooklyn, NY 11220-4743
(718) 654-3561
Not Available

Map and Direction




Provider's Profile

Full NameMr Kelvin Omonzane
GenderMale
SpecialityNurse Practitioner - Family
Location6323 7th Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942716469
  • Provider Enumeration Date: 12/19/2017
  • Last Update Date: 02/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446633374
  • Enrollment ID: I20220810001522

Medical Identifiers

Medical identifiers for Mr Kelvin Omonzane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942716469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 598996 (New York)Secondary
363LF0000XNurse Practitioner - Family 338383 (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. Mr Kelvin Omonzane allows following entities to bill medicare on his behalf.
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033371166
PECOS PAC ID: 6406740273
Enrollment ID: O20040402000837
Entity NameJamaica Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477505220
PECOS PAC ID: 2264324334
Enrollment ID: O20040427001519
Entity NameMjhs Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013208602
PECOS PAC ID: 8325219009
Enrollment ID: O20110929000498
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629415740
PECOS PAC ID: 6406740273
Enrollment ID: O20130815000467
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073569331
PECOS PAC ID: 6406740273
Enrollment ID: O20140724001117
Entity NameSaratoga Regional Medical , P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982094827
PECOS PAC ID: 9032438544
Enrollment ID: O20150505002182
Entity NameVisavis Health Care Medical Group Of Ny, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194350066
PECOS PAC ID: 3870923519
Enrollment ID: O20200423001785
Entity NameRd Medical Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811643166
PECOS PAC ID: 8628463296
Enrollment ID: O20220325000700

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. Mr Kelvin Omonzane 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
Mr Kelvin Omonzane,
6323 7th Ave,
Brooklyn, NY 11220-4743

Ph: (718) 654-3561		Mr Kelvin Omonzane,
6323 7th Ave,
Brooklyn, NY 11220-4743

Ph: (718) 654-3561

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).

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.