Dr Mary Ellen Renna, MD - Medicare Pediatrics in Woodbury, NY

Dr Mary Ellen Renna, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Woodbury, New York. Her current practice location is 40 Crossways Park Dr, Woodbury, New York. You can reach out to her office (for appointments etc.) via phone at (516) 677-9628.

Dr Mary Ellen Renna is licensed to practice in New York (license number 171285) 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 1336111780.

Contact Information

Dr Mary Ellen Renna, MD
40 Crossways Park Dr,
Woodbury, NY 11797-2036
(516) 677-9628
(516) 677-9623

Map and Direction




Physician's Profile

Full NameDr Mary Ellen Renna
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location40 Crossways Park Dr, Woodbury, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336111780
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002282308
  • Enrollment ID: I20221011002151

Medical Identifiers

Medical identifiers for Dr Mary Ellen Renna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336111780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 171285 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary Ellen Renna allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321

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. Dr Mary Ellen Renna 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
Dr Mary Ellen Renna, MD
40 Crossways Park Dr,
Woodbury, NY 11797-2036

Ph: (516) 677-9628
Dr Mary Ellen Renna, MD
40 Crossways Park Dr,
Woodbury, NY 11797-2036

Ph: (516) 677-9628

Reviews and Comments


Pediatrics Doctors in Woodbury, NY

Danielle M Magrini, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 45 Crossways Park Dr W, Woodbury, NY 11797
Phone: 516-536-2800    
Dr. Michael W Elice, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 80 Crossways Park Dr, Suite 200, Woodbury, NY 11797
Phone: 516-802-5028    Fax: 516-802-5027
Dr. Russell J. Schiff, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 43 Crossways Park Drive West, Woodbury, NY 11797
Phone: 516-992-5205    Fax: 516-992-5206
Dr. Stacey Shapiro, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 40 Crossways Park Dr, Woodbury, NY 11797
Phone: 516-677-9658    Fax: 516-677-9623
Irfan Amin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 40 Woodbury Farms, Woodbury, NY 11797
Phone: 718-768-8400    Fax: 718-369-7089
Dr. Jonathan Davis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 40 Crossways Park Dr, Woodbury, NY 11797
Phone: 516-677-9658    Fax: 516-677-9623

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.