Mr Michael Medina, PA-C - Medicare Physician Assistant in Bronx, NY

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Mr Michael Medina, PA-C is a medicare enrolled "Physician Assistant - Medical" in Bronx, New York. He graduated from nursing school in 2019 and has 7 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 5546 Broadway, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (917) 383-2164.

Mr Michael Medina is licensed to practice in New York (license number 023799) 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 1548815731.

Contact Information

Mr Michael Medina, PA-C
5546 Broadway,
Bronx, NY 10463-5250
(917) 383-2164
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael Medina
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location5546 Broadway, Bronx, 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:
  • Mr Michael Medina graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1548815731
  • Provider Enumeration Date: 08/05/2019
  • Last Update Date: 02/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991033813
  • Enrollment ID: I20190829002766

Medical Identifiers

Medical identifiers for Mr Michael Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548815731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (New York)Secondary
363AM0700XPhysician Assistant - Medical 023799 (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. Mr Michael Medina allows following entities to bill medicare on his behalf.
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
Entity NameBP Immediate Medical Care, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205105004
PECOS PAC ID: 8628295581
Enrollment ID: O20140818000117
Entity NameNorth Shore Lij Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060
Entity NameGarnet Health Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316446651
PECOS PAC ID: 5395009765
Enrollment ID: O20180510002613

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 Michael Medina 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 Michael Medina, PA-C
5546 Broadway,
Bronx, NY 10463-5250

Ph: (917) 383-2164		Mr Michael Medina, PA-C
5546 Broadway,
Bronx, NY 10463-5250

Ph: (917) 383-2164

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.