Best Gastroenterologists in NY Who Accept Medicaid

Find top medicaid-approved gastroenterologists in NY for quality GI care.

February 19, 2024

Understanding Medicaid Coverage in New York

Medicaid is a vital public health insurance program that provides coverage to eligible individuals and families across the United States. In New York, Medicaid plays a crucial role in ensuring that residents, including the elderly and those with low incomes, have access to affordable healthcare services.

What is Medicaid?

Medicaid is a joint federal and state program designed to assist those with limited income and resources to access necessary medical care. It covers a broad range of services, including hospital stays, doctor visits, long-term medical care, and other healthcare costs. The program is tailored to serve various groups, including children, pregnant women, parents, seniors, and individuals with disabilities.

In New York, Medicaid is administered by the New York State Department of Health and offers one of the most comprehensive coverage plans in the nation, ensuring that residents receive the care they need without the burden of unmanageable costs.

Medicaid Eligibility in New York

Eligibility for Medicaid in New York is determined based on income, household size, age, and disability status. The state has expanded its Medicaid program to include a wider range of income levels, allowing for increased access to healthcare services for a greater number of residents.

Household Size Maximum Annual Income Level (as of latest guidelines)
1 $17,609
2 $23,792
3 $29,974
4 $36,156
5 $42,339
6 $48,521
7 $54,703
8 $60,886

*For households with more than eight people, add $6,182 for each additional person.

It's important to note that certain individuals, such as pregnant women and the elderly, may qualify for Medicaid with slightly higher income levels. Additionally, assets and resources are considered when determining eligibility for some groups, particularly for those seeking coverage for long-term care services.

Residents of New York who believe they may qualify for Medicaid can apply through the New York State of Health Marketplace or directly through their local Department of Social Services. Understanding the eligibility requirements is the first step in accessing Medicaid coverage and the comprehensive healthcare services it provides, including consultations with medicaid-approved gastroenterologists in NY.

The Importance of Gastrointestinal Health

Maintaining gastrointestinal health is crucial for overall well-being, especially in the elderly population. The digestive system is responsible for the absorption of nutrients and the elimination of waste, playing a vital role in maintaining the body's homeostasis.

Common Gastrointestinal Issues in the Elderly

As individuals age, they may encounter various gastrointestinal issues that can significantly impact their quality of life. Some of the common conditions affecting the elderly include:

  • Chronic constipation: Often resulting from a decrease in intestinal motility, dietary changes, or as a side effect of certain medications.
  • Gastroesophageal reflux disease (GERD): A prevalent condition where stomach acid frequently flows back into the tube connecting the mouth and stomach.
  • Peptic ulcers: These are sores that develop on the lining of the stomach, upper small intestine, or esophagus.
  • Diverticulitis: Inflammation or infection of small pouches that can form along the walls of the colon.
  • Gallstones: Hardened deposits that can form in the gallbladder and cause pain and digestive problems.

These conditions can lead to further complications if not addressed promptly. It is therefore imperative for the elderly and their caregivers to be aware of these potential issues and to seek expert advice from medicaid-approved gastroenterologists in NY when symptoms arise.

Preventative Care for Gastrointestinal Health

Preventative measures are key to avoiding the development or worsening of gastrointestinal problems. Some recommended actions include:

  • Dietary adjustments: Incorporating a high-fiber diet, staying hydrated, and reducing the intake of fatty and spicy foods can aid in digestion and prevent issues like constipation and GERD.
  • Regular exercise: Physical activity can help maintain a healthy digestive system by reducing constipation and promoting overall gut health.
  • Medication management: Reviewing and managing medications with a healthcare provider can help minimize side effects that affect the gastrointestinal system.
  • Routine screenings: Regular check-ups and screenings for conditions such as colon cancer can catch issues early when they are most treatable.

By understanding the importance of preventive care and seeking routine medical advice, the elderly can ensure better gastrointestinal health. Partnering with knowledgeable medicaid-approved gastroenterologists in NY will enable access to essential services and screenings, providing peace of mind and contributing to a healthier life.

Finding a Gastroenterologist Who Accepts Medicaid in NY

For individuals on Medicaid, locating a gastroenterologist who accepts this form of insurance can be a challenging task. In New York, where the healthcare landscape is vast and varied, it is important for Medicaid recipients to understand the obstacles they may face and the steps required to secure specialized gastrointestinal care.

Challenges in Accessing Specialized Care with Medicaid

One of the primary challenges faced by Medicaid recipients is the limited number of specialists who are enrolled as Medicaid providers. This can lead to longer wait times for appointments and a reduced choice of healthcare providers. Furthermore, some gastroenterologists may limit the number of Medicaid patients they accept, which further restricts access.

Another difficulty is navigating the complex healthcare system, which can be particularly daunting for the elderly and their caregivers. Identifying providers who accept Medicaid and are experienced in treating age-related gastrointestinal issues requires persistence and knowledge of the system.

Transportation and mobility issues also pose significant barriers, especially if the available providers are located far from a patient's home. This can discourage regular check-ups and timely treatment, potentially exacerbating health issues.

How to Verify Medicaid Acceptance

To ensure that a gastroenterologist accepts Medicaid, patients or their caregivers should:

  1. Contact the gastroenterologist's office directly and inquire about their Medicaid participation status.
  2. Consult the New York Medicaid Provider Directory, which lists approved providers by specialty and location.
  3. Verify the information with the New York State Department of Health or local Medicaid office to confirm current Medicaid acceptance.
  4. Ask about the process for scheduling appointments and whether a referral from a primary care provider is necessary.

It is beneficial to perform this verification process ahead of time to avoid any confusion or delays when seeking care. Ensuring that the provider is informed about the patient's Medicaid status prior to the visit can facilitate a smoother experience for both the patient and the healthcare team.

Best Gastroenterologist Who Accepts Medicaid in NY

Finding a qualified gastroenterologist who accepts Medicaid in New York can be a daunting task. To assist you in your search, here is a list of 10 reputable gastroenterologists based on the Zocdoc directory:

Dr. Sam Weissman, MD

Dr. Sam Weissman is a distinguished gastroenterologist based in Brooklyn, NY, with a medical degree from the Albert Einstein College of Medicine of Yeshiva University. He completed his residency in internal medicine and a fellowship in gastroenterology at Long Island Jewish Medical Center. Board-certified in gastroenterology by the American Board of Internal Medicine, Dr. Weissman is affiliated with Interfaith Medical Center and New York Methodist Hospital.

At his practice, NYC Medical Plaza, Dr. Weissman is committed to providing focused attention and high-quality care, leading to positive and lasting health outcomes. He is recognized for his expertise in advanced endoscopic procedures and has a strong commitment to colorectal cancer prevention. Dr. Weissman's office has implemented extensive safety precautions to ensure patient safety during the COVID-19 pandemic.

Patients appreciate Dr. Weissman's thorough approach, excellent bedside manner, and the detailed care he provides. His office is located at 2952 Brighton 3rd St, Brooklyn, NY 11235, and he also offers online video visits for patient convenience. Dr. Weissman is in-network with Medicaid - New York and a variety of other insurance plans, ensuring broad accessibility to his services.

Languages Spoken: English
Provider's Gender: Male
NPI Number: 1922083880

Patient reviews reflect Dr. Weissman's reputation as a caring and skilled physician, with an overall rating of 4.68. His ability to listen to concerns and provide comprehensive care is highly valued by his patients.

Dr. Yuriy Pertsovsky, MD

Dr. Yuriy Pertsovsky is a dedicated gastroenterologist practicing at Lifelong Medical PC in Brooklyn, NY. His medical education was completed at Belarusian State Medical University. Dr. Pertsovsky's facility is AAAHC approved and known for its state-of-the-art technology and highly skilled nursing staff. The center prides itself on efficient case turnover and advanced medical equipment, ensuring high-quality patient care.

The administrative staff at Lifelong Medical PC is committed to providing safe and cost-effective endoscopic procedures. Anesthesia services are overseen by a board-certified director of Anesthesiology, with all care delivered by board-certified or board-eligible anesthesiologists. Dr. Pertsovsky and his team focus on personalized patient needs, offering a comfortable and supportive environment from reception through recovery.

Patients benefit from pre-admission and insurance pre-approval, streamlining the process and minimizing delays. The New York State accreditation of the center guarantees that it meets hospital standards for surgical care, with a medical staff that adheres to stringent requirements.

Dr. Pertsovsky is in-network with Medicaid - New York and accepts a wide range of other insurances, making his services accessible to a broad patient base. His practice is located at 2569 Ocean Ave, Brooklyn, NY 11229.

Languages Spoken: English, Russian
Provider's Gender: Male
NPI Number: 1326085168

Dr. Konstantin Vaizman, MD

Dr. Konstantin Vaizman is a board-certified gastroenterologist with a comprehensive practice across Brooklyn and Staten Island, NY. He earned his medical degree from St. George's University School of Medicine and completed his residency in internal medicine at Maimonides Medical Center. Dr. Vaizman further specialized with fellowships in hepatology at The Mount Sinai Hospital and gastroenterology at Maimonides Medical Center.

Dr. Vaizman treats a wide range of conditions including celiac disease, hepatitis, cystic fibrosis, gallstones, jaundice, and offers screening and treatment for colon cancer. His practice is equipped with the latest medical technology and follows strict safety precautions, including mask requirements for all patients.

Fluent in both English and Russian, Dr. Vaizman is accessible to a diverse patient population. He is in-network with Medicaid - New York and accepts a variety of other insurance plans, ensuring that a wide range of patients can receive care.

Dr. Vaizman's multiple office locations in New York are:

  • 1523 Voorhies Ave, 4th Floor, Brooklyn, NY 11235
  • 9920 4th Ave, Suite 205, Brooklyn, NY 11209
  • 1749 E 16th St, Brooklyn, NY 11229
  • 2705 Mermaid Ave, Brooklyn, NY 11224
  • 1042 Flatbush Ave, Brooklyn, NY 11226
  • 2753 Coney Island Ave, Brooklyn, NY 11235
  • 5321 Flatlands Ave, Brooklyn, NY 11234
  • 1058 Forest Ave, Staten Island, NY 10310
  • 4360 Hylan Blvd, Staten Island, NY 10306
  • 321 Edison Street, Staten Island, NY 10306

Specialties: Gastroenterologist
Board Certifications: Gastroenterology (Internal Medicine)
Languages Spoken: English, Russian
Provider's Gender: Male
NPI Number: 1639268105

Please note that the availability of these doctors may vary, and it is recommended to verify their current Medicaid acceptance status and schedule an appointment in advance.

Factors to Consider When Choosing a Gastroenterologist

Selecting a healthcare provider is a critical decision, especially when it pertains to specialized care such as gastroenterology. For those covered by Medicaid in New York, there are several factors to take into account when choosing a gastroenterologist that will ensure high-quality care that meets their specific needs.

Experience and Specialization

The gastroenterologist's experience, particularly with elderly patients, is fundamental. It is advisable to inquire about their expertise in the field, as well as the specific conditions they specialize in treating. Some gastroenterologists may focus on particular gastrointestinal diseases, making them more suited for certain medical issues.

Specialization Description
General Gastroenterology Broad focus on digestive system disorders
Hepatology Specialized in liver diseases
Inflammatory Bowel Disease Focus on conditions like Crohn's and ulcerative colitis
Gastrointestinal Endoscopy Specialized in diagnostic and therapeutic procedures

Location and Accessibility

The location of the gastroenterology practice is another crucial consideration. Accessibility is key for elderly patients who may have mobility challenges. It is beneficial to choose a provider that is conveniently located and easily reachable via public transport or has parking facilities.

Factor Consideration
Proximity Close to home or public transport
Accessibility Elevators, ramps, and other facilities for the disabled

Hospital Affiliation and Facilities

Hospital affiliations of the gastroenterologist are indicative of the quality and range of services they can provide. A well-affiliated gastroenterologist may have access to state-of-the-art equipment and facilities. Furthermore, it's important to consider whether the practice has in-house procedures or if they refer patients to other facilities.

Hospital Affiliation Facilities
Affiliated Hospital A In-house endoscopy suite, imaging services
Affiliated Hospital B Access to specialized GI procedures, multi-disciplinary teams

When evaluating potential gastroenterologists, it's important to consider these factors to ensure that one's specific health needs will be met. Medicaid recipients should prioritize finding a gastroenterologist who not only accepts their coverage but also has the necessary experience, is located in an accessible area, and has the right hospital affiliations and facilities to provide comprehensive care.

Navigating Medicaid to Receive Gastroenterological Care

Navigating the healthcare system can be particularly challenging for the elderly and their caregivers. When it comes to Medicaid and the need for specialist care, understanding the intricacies of referrals and prior authorizations is crucial.

Understanding Medicaid Referrals and Prior Authorizations

Before an individual can see a specialist like a gastroenterologist, they typically need a referral from their primary care physician. Medicaid recipients must follow this protocol to ensure that the cost of their visit to a gastroenterologist will be covered under the plan.

Prior authorization is another key step in the process of receiving specialty care. This is when Medicaid approves a recommended medical service before it is rendered, ensuring that the treatment is necessary and that the cost is covered. Below is a simple breakdown of the steps involved:

  1. Visit your primary care physician for an initial assessment.
  2. If specialized care is needed, the physician will provide a referral to a gastroenterologist.
  3. Obtain prior authorization from Medicaid for the services recommended by the gastroenterologist.
Step Action Required Responsible Party
1 Initial assessment Primary care physician
2 Referral to a specialist Primary care physician
3 Prior authorization Medicaid/Recipient

Scheduling Appointments and What to Expect

Once you have a referral and prior authorization, scheduling an appointment with a medicaid-approved gastroenterologist is the next step. It is advisable to confirm with the gastroenterology office that they accept Medicaid and understand any specific instructions or paperwork that needs to be completed prior to the appointment.

During the appointment, you should expect a thorough examination and discussion of your gastrointestinal health. The gastroenterologist may order tests, prescribe treatment, or recommend lifestyle changes as part of your care plan.

To ensure a smooth experience, keep the following in mind:

  • Call ahead to confirm your appointment and the acceptance of Medicaid.
  • Bring your Medicaid identification card and any other necessary documents.
  • Arrive early to complete any required paperwork.
  • Prepare a list of questions or concerns about your gastrointestinal health.

By understanding the process of navigating Medicaid for gastroenterological care and preparing for appointments, Medicaid recipients can access the quality care they need for maintaining good digestive health.

Resources for Medicaid Recipients

For Medicaid recipients seeking quality gastrointestinal care, there are several resources available to assist in finding medicaid-approved gastroenterologists in NY. These resources can simplify the process and provide valuable information.

Online Directories and Tools

Online directories and search tools are invaluable for locating healthcare providers, including gastroenterologists, who accept Medicaid. These directories typically allow users to filter by specialty, location, and insurance acceptance, making it easier to find a suitable specialist. Additionally, some tools provide ratings and reviews, helping to gauge the quality of care provided by the gastroenterologist.

Resource Type Description
Provider Locator Enables search by zip code or city
Doctor Ratings Offers insights into patient satisfaction
Insurance Checker Confirms if a provider accepts Medicaid

State and Local Health Departments

State and local health departments often maintain lists of Medicaid-approved providers, including specialists like gastroenterologists. These departments can also provide assistance with understanding Medicaid benefits and navigating the healthcare system. They often have helplines or customer service centers where recipients can ask questions and receive personalized support.

Department Service Assistance Provided
Provider Listings Comprehensive lists of Medicaid-approved providers
Helpline Answers questions regarding Medicaid coverage
Application Assistance Helps with the Medicaid application process

Support Groups and Community Resources

Support groups and community resources can be a source of recommendations for gastroenterologists who accept Medicaid. These groups often share experiences and can provide insights into the quality of care provided by specific doctors. Additionally, community health centers and nonprofit organizations may offer guidance and support services for those seeking specialized medical care.

Resource Type Benefit
Support Groups Peer recommendations and shared experiences
Community Health Centers Local healthcare guidance and support
Nonprofit Organizations Assistance with healthcare access and advocacy

By leveraging these resources, Medicaid recipients can more easily identify and access the gastroenterological care they need. It's important to thoroughly research and verify the Medicaid acceptance of any healthcare provider before scheduling an appointment. These resources are designed to empower Medicaid recipients with the knowledge and tools necessary to access quality care.


Maintaining good gastrointestinal health is critical for the elderly population, and early detection of problems can be lifesaving. By seeking preventive care, verifying Medicaid acceptance, and carefully selecting a gastroenterologist with experience in treating age-related gastrointestinal issues, Medicaid recipients can access high-quality care that meets their specific needs.

Understanding the Medicaid system and utilizing available resources can simplify this process and provide peace of mind for patients and their caregivers. With the right healthcare team in place, seniors can continue to enjoy a high quality of life well into their golden years.


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