Diane M Sixsmith, MD - Medicare Emergency Medicine in Flushing, NY

  1. Home
  2. Emergency Medicine
  3. NY
  4. Flushing
Diane M Sixsmith, MD is a medicare enrolled "Emergency Medicine" physician in Flushing, New York. She went to University Of Pittsburgh School Of Medicine and graduated in 1973 and has 52 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Optum Urgent Care Pllc and her current practice location is 56-45 Main St, New York Hospital Medical Center Of Queens Emergency De, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 670-1231.

Diane M Sixsmith is licensed to practice in New York (license number 122203) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1043237779.

Contact Information

Diane M Sixsmith, MD
56-45 Main St, New York Hospital Medical Center Of Queens Emergency De,
Flushing, NY 11355
(718) 670-1231
(516) 437-4167

Map and Direction




Physician's Profile

Full NameDiane M Sixsmith
GenderFemale
SpecialityEmergency Medicine
Experience52 Years
Location56-45 Main St, Flushing, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Diane M Sixsmith attended and graduated from University Of Pittsburgh School Of Medicine in 1973
  NPI Data:
  • NPI Number: 1043237779
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 11/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9335128636
  • Enrollment ID: I20080923000210

Medical Identifiers

Medical identifiers for Diane M Sixsmith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043237779NPI-NPPES
00229896MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 122203 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Urgent Care Pllc862829951866

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. Diane M Sixsmith 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
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameQuickmed Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003253030
PECOS PAC ID: 9335373612
Enrollment ID: O20130930000480
Entity NameOptum Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598

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. Diane M Sixsmith 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
Diane M Sixsmith, MD
1981 Marcus Ave, Suite 208,
New Hyde Park, NY 11042-1038

Ph: (718) 670-1651		Diane M Sixsmith, MD
56-45 Main St, New York Hospital Medical Center Of Queens Emergency De,
Flushing, NY 11355

Ph: (718) 670-1231

Reviews and Comments


Emergency Medicine Doctors in Flushing, NY

Joel Alejandro Aguilar,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5645 Main St, Flushing, NY 11355
Phone: 718-670-2000    
Mark Guevorkian,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5645 Main St, Flushing, NY 11355
Phone: 718-670-2000    
Dr. Jamie Alison Edelstein, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 56-45 Main Street, Flushing, NY 11355
Phone: 718-670-1100    
David Michael Pinter, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 14001 Jewel Ave Apt 2, Flushing, NY 11367
Phone: 718-309-3202    
Brenda Lee-hao Liu, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 56-45 Main Street, New York Hospital Medical Center Of Queens - Emergency, Flushing, NY 11355
Phone: 718-670-1231    Fax: 610-617-6280
David Barlas, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 56-45 Main Street, New York Hospital Medical Center Of Queens - Emergency, Flushing, NY 11355
Phone: 718-670-1231    Fax: 610-617-6280

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.