Dr Terry G Kaplan, MD - Medicare Family Medicine in Mount Vernon, NY

Dr Terry G Kaplan, MD is a medicare enrolled "Family Medicine" physician in Mount Vernon, New York. Her current practice location is 107 W 4th St, Mount Vernon, New York. You can reach out to her office (for appointments etc.) via phone at (914) 699-7200.

Dr Terry G Kaplan is licensed to practice in New York (license number 202912) 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 1316152218.

Contact Information

Dr Terry G Kaplan, MD
107 W 4th St,
Mount Vernon, NY 10550-4002
(914) 699-7200
(914) 699-0837

Map and Direction




Physician's Profile

Full NameDr Terry G Kaplan
GenderFemale
SpecialityFamily Medicine
Location107 W 4th St, Mount Vernon, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316152218
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567432909
  • Enrollment ID: I20040730001121

Medical Identifiers

Medical identifiers for Dr Terry G Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316152218NPI-NPPES
01862995MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 202912 (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 Terry G Kaplan allows following entities to bill medicare on her behalf.
Entity NameProject Renewal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598770018
PECOS PAC ID: 6901798651
Enrollment ID: O20040326001016

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 Terry G Kaplan 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 Terry G Kaplan, MD
107 West 4th Street,
Mount Vernon, NY 10550-4002

Ph: (914) 699-7200
Dr Terry G Kaplan, MD
107 W 4th St,
Mount Vernon, NY 10550-4002

Ph: (914) 699-7200

Reviews and Comments


Family Medicine Doctors in Mount Vernon, NY

Ifesinachi Nnaji, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 540 Gramatan Ave, Mount Vernon, NY 10552
Phone: 914-668-5944    
Dr. Daryl Wesley Graves, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550
Phone: 914-664-8000    Fax: 914-664-8015
Miriam N James, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Stevens Ave, Ste 5a, Mount Vernon, NY 10550
Phone: 914-699-4343    Fax: 914-699-4311
Dr. Deborah Sophia Hunter-brown, M.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 105 Stevens Ave, Suite 408, Mount Vernon, NY 10550
Phone: 914-663-1368    Fax: 914-663-1403
Grace Nwakaego Onovo, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Gramatan Ave Ste 604a, Mount Vernon, NY 10550
Phone: 838-333-0513    
Nadeem Shahid,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 105 Stevens Ave, Ste 306, Mount Vernon, NY 10550
Phone: 914-863-0056    Fax: 914-863-0146

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.