Dr Jacquelyn Marie Gonka-griffo, MD - Medicare Urology in Cheektowaga, NY

Dr Jacquelyn Marie Gonka-griffo, MD is a medicare enrolled "Urology - Female Pelvic Medicine And Reconstructive Surgery" physician in Cheektowaga, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Urology. She is a member of the group practice Great Lakes Physician Pc and her current practice location is 3085 Harlem Rd Ste 200, Cheektowaga, New York. You can reach out to her office (for appointments etc.) via phone at (716) 844-5000.

Dr Jacquelyn Marie Gonka-griffo is licensed to practice in New York (license number 309454) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902292733.

Contact Information

Dr Jacquelyn Marie Gonka-griffo, MD
3085 Harlem Rd Ste 200,
Cheektowaga, NY 14225-2591
(716) 844-5000
(716) 844-5750



Physician's Profile

Full NameDr Jacquelyn Marie Gonka-griffo
GenderFemale
SpecialityUrology
Experience9 Years
Location3085 Harlem Rd Ste 200, Cheektowaga, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacquelyn Marie Gonka-griffo attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1902292733
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 08/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749524601
  • Enrollment ID: I20210611000200

Medical Identifiers

Medical identifiers for Dr Jacquelyn Marie Gonka-griffo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902292733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2088F0040XUrology - Female Pelvic Medicine And Reconstructive Surgery 309454 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital
Upmc Chautauqua At WcaJamestown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Physician Pc913343426961

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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. Dr Jacquelyn Marie Gonka-griffo allows following entities to bill medicare on her behalf.
Entity NameErie County Medical Center Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528233616
PECOS PAC ID: 1456308907
Enrollment ID: O20050715000538

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Entity NameGreat Lakes Physician Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659310092
PECOS PAC ID: 9133434269
Enrollment ID: O20150818004788

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Entity NameHarlem Road Ambulatory Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1588328918
PECOS PAC ID: 7810388238
Enrollment ID: O20211220000734

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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. Dr Jacquelyn Marie Gonka-griffo 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
Dr Jacquelyn Marie Gonka-griffo, MD
3085 Harlem Rd Ste 350,
Cheektowaga, NY 14225-2591

Ph: (716) 844-5600
Dr Jacquelyn Marie Gonka-griffo, MD
3085 Harlem Rd Ste 200,
Cheektowaga, NY 14225-2591

Ph: (716) 844-5000

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Urology Doctors in Cheektowaga, NY

Gina Nicole Tundo, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5750
Karl-dietrich Max Gustav Sievert,
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5750
Dr. John Joseph Bodkin Iii, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5050
Kevin J Barlog, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5050
Dr. K Kent Chevli, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5050
David J. Abramowitz, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5750
Teresa Louise Danforth, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225
Phone: 716-844-5000    Fax: 716-844-5750

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