Andrew S Bomback, MD - Medicare Nephrology in New York, NY

Andrew S Bomback, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New York, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is 622 W 168th St, Ph 4-124, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-0320.

Andrew S Bomback is licensed to practice in New York (license number 251905) 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 1013129816.

Contact Information

Andrew S Bomback, MD
622 W 168th St, Ph 4-124,
New York, NY 10032-3720
(212) 305-0320
Not Available



Physician's Profile

Full NameAndrew S Bomback
GenderMale
SpecialityNephrology
Experience21 Years
Location622 W 168th St, New York, 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:
  • Andrew S Bomback attended and graduated from Columbia University College Of Physicians And Surgeons in 2003
  NPI Data:
  • NPI Number: 1013129816
  • Provider Enumeration Date: 05/04/2007
  • Last Update Date: 08/24/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9739239856
  • Enrollment ID: I20090611000508

Medical Identifiers

Medical identifiers for Andrew S Bomback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013129816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 251905 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York-presbyterian HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trustees Of Columbia University In The City Of New York85279725461895

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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. Andrew S Bomback allows following entities to bill medicare on his behalf.
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437176047
PECOS PAC ID: 6002715794
Enrollment ID: O20031231000637

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Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982993184
PECOS PAC ID: 8527972546
Enrollment ID: O20040407001360

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Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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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. Andrew S Bomback 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
Andrew S Bomback, MD
622 W 168th St, Ph 4-124,
New York, NY 10032-3720

Ph: (212) 305-0320
Andrew S Bomback, MD
622 W 168th St, Ph 4-124,
New York, NY 10032-3720

Ph: (212) 305-0320

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Internal Medicine Doctors in New York, NY

Dr. Ravishankar Ramaswamy, MD, MS
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1440 Madison Avenue, New York, NY 10029
Phone: 212-659-8552    Fax: 212-860-9737
Dr. Pietro Alessandro Ambrogio Canetta, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 622 W 168th St, Ph4-124, New York, NY 10032
Phone: 212-305-5020    Fax: 212-305-6692
Dr. Rakhshan Mahmood Chida, M.D.
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Medicare: Medicare Enrolled
Practice Location: 327 E 17th St, New York, NY 10003
Phone: 212-420-5690    
Charles D Resor,
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Phone: 212-305-2913    
Dr. Jacqueline Yuey Lonier, M.D.
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Practice Location: 1150 Saint Nicholas Ave, New York, NY 10032
Phone: 212-851-5494    
Dr. Sharon Uralil, D.O.
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Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-3293    
Diana Kantor, MD
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