Mr Walid M Elzomor, PA-C - Medicare Physician Assistant in Brooklyn, NY

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Mr Walid M Elzomor, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Brooklyn, New York. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Marys General Medical Group Pc, St Josephs Medical Group Pc and his current practice location is 506 6th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 780-7700.

Mr Walid M Elzomor is licensed to practice in New Jersey (license number 25MP00140500) 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 1255374930.

Contact Information

Mr Walid M Elzomor, PA-C
506 6th St,
Brooklyn, NY 11215-3609
(718) 780-7700
Not Available

Map and Direction




Provider's Profile

Full NameMr Walid M Elzomor
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location506 6th St, Brooklyn, 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 Walid M Elzomor graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1255374930
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 09/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173622131
  • Enrollment ID: I20070616000056

Medical Identifiers

Medical identifiers for Mr Walid M Elzomor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255374930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 25MP00140500 (New Jersey)Primary
363AS0400XPhysician Assistant - Surgical 010232 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's University Medical Center IncPaterson, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys General Medical Group Pc549611247673
St Josephs Medical Group Pc8628470325217

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 Walid M Elzomor allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612
Entity NamePrime Healthcare Services - St Mary's Passaic, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730508250
PECOS PAC ID: 6305066911
Enrollment ID: O20141031000263
Entity NameCentral Avenue Professional Services, PC
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1447649694
PECOS PAC ID: 7214258003
Enrollment ID: O20150604002544
Entity NameSt Josephs Medical Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520
Entity NameSt Marys General Medical Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477261741
PECOS PAC ID: 5496112476
Enrollment ID: O20230607000110

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 Walid M Elzomor 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 Walid M Elzomor, PA-C
309 Wedgewood Dr,
Paramus, NJ 07652

Ph: (201) 483-3008		Mr Walid M Elzomor, PA-C
506 6th St,
Brooklyn, NY 11215-3609

Ph: (718) 780-7700

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.