Krystal C Cappas Cordero, MD - Medicare Student in an Organized Health Care Education/Training Program in Flushing, NY

Krystal C Cappas Cordero, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flushing, New York. Her current practice location is 4500 Parsons Blvd, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 670-5000.

Krystal C Cappas Cordero is licensed to practice in New York (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588318414.

Contact Information

Krystal C Cappas Cordero, MD
4500 Parsons Blvd,
Flushing, NY 11355-2205
(718) 670-5000
Not Available



Physician's Profile

Full NameKrystal C Cappas Cordero
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location4500 Parsons Blvd, Flushing, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588318414
  • Provider Enumeration Date: 02/09/2022
  • Last Update Date: 06/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325411606
  • Enrollment ID: I20230307003215

Medical Identifiers

Medical identifiers for Krystal C Cappas Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588318414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 23017 (Puerto Rico)Secondary
390200000XStudent In An Organized Health Care Education/training Program 16000I (Puerto Rico)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New York)Primary

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. Krystal C Cappas Cordero 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
Krystal C Cappas Cordero, MD
4500 Parsons Blvd,
Flushing, NY 11355-2205

Ph: () -
Krystal C Cappas Cordero, MD
4500 Parsons Blvd,
Flushing, NY 11355-2205

Ph: (718) 670-5000

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