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Primary Practice Address
525 E 68TH ST M130
NEW YORK, NY 10065-4870 US
Accepts Medicare Payment

PECOS Enrolled

Mychal Shira Grodstein

Physician Assistant


Mychal Shira Grodstein

Overview

Mychal Shira Grodstein is a Physician Assistant in the NEW YORK area and has over 14 years of experience. Mychal Shira Grodstein primary office location is at 525 E 68TH ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2010

Mychal Shira Grodstein is affiliated with one hospital in the NEW YORK area, NORTH SHORE UNIVERSITY HOSPITAL. The NPI number is 1043512585 and the information was updated approximately 14 years ago.

Mychal Shira Grodstein is affiliated with one medical group in the NEW YORK area, NORTH SHORE - LIJ MEDICAL PC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
525 E 68TH ST M130
NEW YORK, NY 10065-4870 US
Phone: (212)-746-0780
Fax:
Practice Mailing Information
344 3RD AVE APT 2G
NEW YORK, NY 10065-4870 US
Phone: (401)-683-8036
Fax:

Practice Location Addresses: 6

License NumberState
014435-01NY

No Identifiers found

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts´┐Ż initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20110531000609
PECOS Individual PAC ID:1658558697
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes