For Patients

Patient Forms, Map and Directions to Liberty Endoscopy Center

If you're planning your first visit to Liberty Endoscopy Center, LLC, we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice on this page, including:

  • Patient Forms (complete this prior to your appointment to save some time)
  • Insurance and Billing information
  • Directions and maps


Patient Forms

Download our forms (PDF format):

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


Insurance and Billing

In-network Insurances accepted:

- Oscar

- Blue Cross Blue Shield BCBS

- United HealthCare UHC

- Medicare

- Aetna

- Medicaid

- Island Group Administration



-Fidelis Care

Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. 

About Your Bill

Liberty Endoscopy Center will make every effort to keep this process as simple as possible. Your procedure will generate several different bills from different sources

  • Liberty Endoscopy Center's bill covers the use of the facility and all necessary supplies used during your procedure. Liberty Endoscopy Center will also be submitting a claim for anesthesia services provided.
  • You will receive a separate bill from your physician.
  • Laboratory/Pathology services that may be used for your procedure will be billed separately.

Our facility works with your doctor's office to make sure we have accurate insurance information. As a courtesy, we will contact your insurance carrier if there is any question about your eligibility. We will make every attempt to notify you of your financial responsibility ahead of the time of service. If you cannot be reached you will be given the amount at check-in.

Payment Options

Please call (646) 215-2244 for payment plan options.

For billing information or questions about your bill, please call (866) 840-6208.

Pledge to Charity

Liberty Endoscopy Center recognizes that many individuals in our community require medically necessary services, but may not have adequate financial resources to pay for these services. Liberty Endoscopy Center has an established policy for extending charity care services to patients that do not have the ability to pay.

Liberty Endoscopy in collaboration with the New York City Department of Health- NYC Community Cares Program, established partnerships with Cumberland Practice (NYC Health and Hospitals), NYU family practices to provide Charity care service for New Yorkers.

Also, Liberty Endoscopy is in partnership with one of the oldest New York community Non for profit- Bowrey Mission to provide Screening colonoscopy for their patients.

To make an appointment, please contact our Administrator at (646) 215-2244

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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