Glycare - Medicare Primary Care in Bethpage, NY

Glycare is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Bethpage, New York. The current practice location for Glycare is 4295 Hempstead Tpke, Bethpage, New York. For appointments, you can reach them via phone at (904) 372-3943. The mailing address for Glycare is 7751 Belfort Pkwy Ste 120, Jacksonville, Florida and phone number is (904) 372-3943.

Glycare is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1013461193. 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 (904) 372-3943.

Contact Information

Glycare
4295 Hempstead Tpke
Bethpage
NY 11714-5713
(904) 372-3943
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameGlycare
SpecialityInternal Medicine
Location4295 Hempstead Tpke, Bethpage, New York
Authorized Official Name and PositionKyle Mooney (CEO)
Authorized Official Contact9043723943
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glycare
7751 Belfort Pkwy Ste 120
Jacksonville
FL 32256-6921

Ph: (904) 372-3943
Glycare
4295 Hempstead Tpke
Bethpage
NY 11714-5713

Ph: (904) 372-3943

NPI Details:

NPI Number1013461193
Provider Enumeration Date08/07/2016
Last Update Date04/16/2026
Certification Date04/16/2026

Medicare PECOS Information:

Medicare PECOS PAC ID9436435385
Medicare Enrollment IDO20170410000181

Medical Identifiers

Medical identifiers for Glycare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013461193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glycare acts as a billing entity for following providers:
Provider NameDavid R Sutton
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1447252523
PECOS PAC ID: 1850433582
Enrollment ID: I20100119000503
Provider NameShari Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720598006
PECOS PAC ID: 1557604063
Enrollment ID: I20190528000011
Provider NameRachel Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316394901
PECOS PAC ID: 2264880335
Enrollment ID: I20231129003824
Provider NameCourtney Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497427322
PECOS PAC ID: 6204270713
Enrollment ID: I20240222003067
Provider NamePrincily Senthilkumaran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093545154
PECOS PAC ID: 5092255083
Enrollment ID: I20240905000035
Provider NameRosarlem Mejias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609689132
PECOS PAC ID: 8325578354
Enrollment ID: I20250206001067
Provider NameStacy Fuentes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962217844
PECOS PAC ID: 9830629294
Enrollment ID: I20250214000010
Provider NameThao P Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275348534
PECOS PAC ID: 5193245140
Enrollment ID: I20250221000640
Provider NameLisetta Apollini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184448813
PECOS PAC ID: 2062933195
Enrollment ID: I20250305003630
Provider NameMelissa Marie Gutierrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235937046
PECOS PAC ID: 6204357726
Enrollment ID: I20250312002804
Provider NameAdianez Forte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497555098
PECOS PAC ID: 3476075383
Enrollment ID: I20250320001752
Provider NameMilagros Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063218519
PECOS PAC ID: 6204351323
Enrollment ID: I20250421002816
Provider NameSilvia Elena Calahatian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225924343
PECOS PAC ID: 6800308701
Enrollment ID: I20250625003279
Provider NameIrna Lomana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902633134
PECOS PAC ID: 8729591128
Enrollment ID: I20250630001531
Provider NameMarcquan Adderly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922985308
PECOS PAC ID: 5395241384
Enrollment ID: I20250930000411
Provider NameRachelle Ragoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386504298
PECOS PAC ID: 6901383140
Enrollment ID: I20260120001891
Provider NameCarolina Fung Chia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194682732
PECOS PAC ID: 3173002037
Enrollment ID: I20260210003405
Provider NameTaylor E Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699630939
PECOS PAC ID: 8022590207
Enrollment ID: I20260305003933
Provider NameChavelle Moya- Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104772144
PECOS PAC ID: 9133604788
Enrollment ID: I20260331004619
Provider NameRiddhi Patel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1851101067
PECOS PAC ID: 8729556832
Enrollment ID: I20260507000602

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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.