Four Corners Medical Pc - Medicare Primary Care in Richmond Hill, NY

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Four Corners Medical Pc is a medicare enrolled primary clinic (Internal Medicine) in Richmond Hill, New York. The current practice location for Four Corners Medical Pc is 11622 Metropolitan Ave, Richmond Hill, New York. For appointments, you can reach them via phone at (347) 415-7347. The mailing address for Four Corners Medical Pc is 11622 Metropolitan Ave, Richmond Hill, New York and phone number is (347) 415-7347.

Four Corners Medical Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356071526. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (347) 415-7347.

Contact Information

Four Corners Medical Pc
11622 Metropolitan Ave
Richmond Hill
NY 11418-1017
(347) 415-7347
(347) 312-7197

Map and Direction


Primary Care Clinic Profile

Full NameFour Corners Medical Pc
SpecialityInternal Medicine
Location11622 Metropolitan Ave, Richmond Hill, New York
Authorized Official Name and PositionJean-yves Dastain (PROVIDER)
Authorized Official Contact3474157347
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Four Corners Medical Pc
11622 Metropolitan Ave
Richmond Hill
NY 11418-1017

Ph: (347) 415-7347		Four Corners Medical Pc
11622 Metropolitan Ave
Richmond Hill
NY 11418-1017

Ph: (347) 415-7347

NPI Details:

NPI Number1356071526
Provider Enumeration Date06/12/2022
Last Update Date03/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0345605291
Medicare Enrollment IDO20230427001035

Medical Identifiers

Medical identifiers for Four Corners Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356071526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Four Corners Medical Pc acts as a billing entity for following providers:
Provider NameSalvatore Trazzera
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1568469757
PECOS PAC ID: 4981691789
Enrollment ID: I20040426000906
Provider NameAdam S Budzikowski
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790725125
PECOS PAC ID: 4385692912
Enrollment ID: I20050110000991
Provider NameKashyar Khodabakhsh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073788667
PECOS PAC ID: 0840477428
Enrollment ID: I20110608000094
Provider NameJean Yves Dastain
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1417213299
PECOS PAC ID: 0143479576
Enrollment ID: I20120928000661

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.