John Paul Sheehy, MD - Medicare Pediatrics in Glen Cove, NY

John Paul Sheehy, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Glen Cove, New York. His current practice location is 10 Medical Plz, Room 301, Glen Cove, New York. You can reach out to his office (for appointments etc.) via phone at (516) 676-7116.

John Paul Sheehy is licensed to practice in New York (license number 133054-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356373922.

Contact Information

John Paul Sheehy, MD
10 Medical Plz, Room 301,
Glen Cove, NY 11542-2193
(516) 676-7116
(516) 676-6249

Map and Direction




Physician's Profile

Full NameJohn Paul Sheehy
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location10 Medical Plz, Glen Cove, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356373922
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8820310352
  • Enrollment ID: I20141211000439

Medical Identifiers

Medical identifiers for John Paul Sheehy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356373922NPI-NPPES
00424117MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 133054-1 (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. John Paul Sheehy allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. John Paul Sheehy 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
John Paul Sheehy, MD
35 Weir Ln,
Locust Valley, NY 11560-1625

Ph: (516) 671-7942
John Paul Sheehy, MD
10 Medical Plz, Room 301,
Glen Cove, NY 11542-2193

Ph: (516) 676-7116

Reviews and Comments


Pediatrics Doctors in Glen Cove, NY

Dr. Melissa Marie Libert, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3 School St Ste 302, Glen Cove, NY 11542
Phone: 516-759-1234    Fax: 516-674-9172
Catherine Screnci, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3 School St, Suite 302, Glen Cove, NY 11542
Phone: 516-759-1234    Fax: 516-674-9172
Loriann M Stiuso, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10 Medical Plz, Room 301, Glen Cove, NY 11542
Phone: 516-676-7116    Fax: 516-676-6249
Patricia Victoria Mena Rosario, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10 Medical Plz Ste 301, Glen Cove, NY 11542
Phone: 516-676-7116    
Dr. Innis O'rourke Iii, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3 School St, Suite 101-a, Glen Cove, NY 11542
Phone: 516-674-2121    Fax: 516-674-2260
Helen Jablonowski-parada, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10 Medical Plz, Glen Cove, NY 11542
Phone: 516-676-7116    Fax: 516-676-6249

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.