Peter Evan Protzel, DDS, MD - Medicare in Bethpage, NY

  1. Home
Peter Evan Protzel, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Bethpage, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice White Hall Dental, Pc, Lenox Otolaryngology Head And Neck Surgery Pc and his current practice location is 4277 Hempstead Tpke, Suite 214, Bethpage, New York. You can reach out to his office (for appointments etc.) via phone at (516) 735-6505.

Peter Evan Protzel is licensed to practice in New York (license number 047168) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700802980.

Contact Information

Peter Evan Protzel, DDS, MD
4277 Hempstead Tpke, Suite 214,
Bethpage, NY 11714-5709
(516) 735-6505
(516) 735-3326

Map and Direction




Healthcare Provider's Profile

Full NamePeter Evan Protzel
GenderMale
SpecialityMaxillofacial Surgery
Experience30 Years
Location4277 Hempstead Tpke, Bethpage, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter Evan Protzel attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1700802980
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749244630
  • Enrollment ID: I20041122000419

Medical Identifiers

Medical identifiers for Peter Evan Protzel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700802980NPI-NPPES
02339499MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 047168 (New York)Secondary
204E00000XOral & Maxillofacial Surgery 047168 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Jewish Medical CenterNew hyde park, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White Hall Dental, Pc25678201379
Lenox Otolaryngology Head And Neck Surgery Pc30726994793

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. Peter Evan Protzel allows following entities to bill medicare on his behalf.
Entity NameNorthwell Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215019500
PECOS PAC ID: 3971531039
Enrollment ID: O20070215000718
Entity NameLenox Otolaryngology Head & Neck Surgery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689871238
PECOS PAC ID: 3072699479
Enrollment ID: O20080326000275
Entity NameBlack Hall Dental Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356091516
PECOS PAC ID: 6901283308
Enrollment ID: O20220524000597
Entity NameWhite Hall Dental, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376268821
PECOS PAC ID: 2567820137
Enrollment ID: O20230614002923

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. Peter Evan Protzel 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
Peter Evan Protzel, DDS, MD
4277 Hempstead Turnpike, Suite 214,
Bethpage, NY 11714

Ph: (516) 735-6505		Peter Evan Protzel, DDS, MD
4277 Hempstead Tpke, Suite 214,
Bethpage, NY 11714-5709

Ph: (516) 735-6505

Reviews and Comments



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.