Mr Mark Anthony Doublet, RD, CDE - Medicare Dietitian in Port Jefferson, NY

Mr Mark Anthony Doublet, RD, CDE is a medicare enrolled "Dietitian, Registered" provider in Port Jefferson, New York. His current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 686-2505.

Mr Mark Anthony Doublet is licensed to practice in New York (license number 1005065) 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 1659814077.

Contact Information

Mr Mark Anthony Doublet, RD, CDE
75 N Country Rd,
Port Jefferson, NY 11777-2119
(631) 686-2505
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Anthony Doublet
GenderMale
SpecialityDietitian, Registered
Location75 N Country Rd, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659814077
  • Provider Enumeration Date: 12/03/2016
  • Last Update Date: 12/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072898402
  • Enrollment ID: I20170327000018

Medical Identifiers

Medical identifiers for Mr Mark Anthony Doublet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659814077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1005065 (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. Mr Mark Anthony Doublet allows following entities to bill medicare on his behalf.
Provider NameOptum Medical Care Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider 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. Mr Mark Anthony Doublet 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
Mr Mark Anthony Doublet, RD, CDE
215 Westview Ave,
Deer Park, NY 11729-6404

Ph: (516) 523-4413
Mr Mark Anthony Doublet, RD, CDE
75 N Country Rd,
Port Jefferson, NY 11777-2119

Ph: (631) 686-2505

Reviews and Comments


Dietitian, Registered in Port Jefferson, NY

Denine Cannistra, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6300    Fax: 631-474-6161
Kathryn Shouler, R.D.N
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 125 Oakland Ave Ste 203, Port Jefferson, NY 11777
Phone: 631-686-2551    Fax: 631-686-2552
Jaime Ann Kohlmann, RD, CDE, CDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 125 Oakland Ave, Port Jefferson, NY 11777
Phone: 631-978-7590    
Mrs. Darlene Renee Petroccione, RD, CDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 640 Belle Terre Rd, Building E, Port Jefferson, NY 11777
Phone: 631-987-4006    Fax: 631-828-1138
Rachel Cipriano, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 24 Winston Dr N, Port Jefferson, NY 11777
Phone: 631-512-2979    
Medical Weight Management
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777
Phone: 631-686-7897    Fax: 631-686-2503
Katie Obojkovits, MS, RDN, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 625 Belle Terre Rd Ste 203, Port Jefferson, NY 11777
Phone: 631-686-7680    

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.