Bernard Andre, RPA-C
Individual provider Active NPI Surgical Physician Assistant · Rockville Centre, NY
NPI 1164627600 · NPPES record last updated Nov 28, 2012
Key facts
- NPI
- 1164627600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 011861 (NY)
- Practice address
- 36 Lincoln Ave
Rockville Centre, NY 11570-5768 - Phone
- (516) 536-2800
- Fax
- (516) 302-8182
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Orthopedics and Sports Medicine
Practice addresses (Care Compare)
12090 Old Line Ctr
Suite R10A
Waldorf, MD 20602-2556
Phone (301) 498-0333
14201 Park Ctr Dr
Laurel, MD 20707-5251
16 N la Plata CT
La Plata, MD 20646-4283
Phone (301) 392-3330
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, MD, DC
- 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 |
|---|---|---|---|---|
| I20070802000580 | NY | Practitioner - Physician Assistant | 1759472921 | Reassigns benefits to 1 organization |
| I20201216000212 | MD | Practitioner - Physician Assistant | 1759472921 | Reassigns benefits to 2 organizations |
| I20201216000304 | DC | Practitioner - Physician Assistant | 1759472921 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011861 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current |
Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Current |
Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Current |
Accepting new patients | |
| Up Orthopedics LLC | Past | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
14999 Health Center Dr
Ste 101
Bowie, MD 20716
Phone (301) 464-1885
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560
309 Willowbrook Rd
Ste 2
Cumberland, MD 21502
Phone (301) 777-2170
12414 Naves Cross Rd NE
Cumberland, MD 21502
Phone (240) 808-8482
8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334
610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482
7501 Greenway Center Dr
Ste 220
Greenbelt, MD 20770
Phone (240) 965-7358
5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700
16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330
14201 Park Center Dr
Ste 408
Laurel, MD 20707
Phone (301) 685-3805
14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334
22335 Exploration Dr
Ste 1015
Lexington Park, MD 20653
Phone (301) 863-6601
880 Memorial Dr
Oakland, MD 21550
Phone (301) 334-4041
6196 Oxon Hill Rd
Ste 200
Oxon Hill, MD 20745
Phone (301) 567-1114
221 American Way
Oxon Hill, MD 20745
Phone (301) 567-9100
220 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-4884
12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Interoperability endpoints
- bandre@precisionmsk.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 011861 | NY | Yes |
Addresses
Primary practice location
36 Lincoln Ave
Rockville Centre, NY 11570-5768
Mailing address
165 N Village Ave
Suite 128
Rockville Centre, NY 11570-3761
Phone (516) 302-8180
Other providers in Rockville Centre, NY
- American Imaging Associates, PC
- Margaret Kathryn Amodemo
- Adaeze Anaekwe
- Jill Anderson
- Stanley S. Anderson
- Rayana Angelillo
- Kenneth Lee Angelino
- Angelito D. Tan, M.D., PC
- Anne Chapman Kane PHD PC
- Annette Baggott MD PC
All providers in Rockville Centre, NY · Surgical 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 Nov 28, 2012. 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.