Valencia Derbie Guillaume, PA-C
Individual provider Active NPI Medical Physician Assistant · Albany, NY
NPI 1154977015 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1154977015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 98 Wolf Rd Ste 16
Albany, NY 12205-1226 - Phone
- (518) 264-9000
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bobby Buka, M.D., P.C.
Practice addresses (Care Compare)
220 Front St
New York, NY 10038-2033
Phone (212) 385-3700
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191212000884 | NY | Practitioner - Physician Assistant | 6305279951 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current |
Accepting new patients | |
| Albany Medical College | Current |
Accepting new patients |
Locations
98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500
1275 Broadway
Menands, NY 12204
Phone (518) 262-9705
115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900
11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
98 Wolf Rd Ste 16
Albany, NY 12205-1226
Mailing address
3602 Townehouse Dr
Coram, NY 11727-2842
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AMC |
Other providers in Albany, NY
- Esequiel Joshua Guevara
- Margaret C Guglielmi
- Daniel M Guglielmo
- Guiding Steps Psychotherapy Mental Health Counseling PLLC
- Ryan Quinn Peneyra Guilaran
- Bridget N Guillen
- Maninder S. Gujral
- Henry Gumina
- Bora Gumustop
- Kieley Elizabeth Gundlach
All providers in Albany, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.