Dr Andrea B Kaplan, MD - Medicare Family Practice in Greenvale, NY

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Dr Andrea B Kaplan, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Greenvale, New York. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Chs Physician Partners Pc and her current practice location is 2200 Northern Blvd Ste 116, Greenvale, New York. You can reach out to her office (for appointments etc.) via phone at (516) 609-0346.

Dr Andrea B Kaplan is licensed to practice in New York (license number 200525) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790872273.

Contact Information

Dr Andrea B Kaplan, MD
2200 Northern Blvd Ste 116,
Greenvale, NY 11548-1220
(516) 609-0346
(516) 609-0353

Map and Direction




Physician's Profile

Full NameDr Andrea B Kaplan
GenderFemale
SpecialityFamily Practice
Experience33 Years
Location2200 Northern Blvd Ste 116, Greenvale, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrea B Kaplan graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1790872273
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072688993
  • Enrollment ID: I20080812000459

Medical Identifiers

Medical identifiers for Dr Andrea B Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790872273NPI-NPPES
0627201MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200525 (New York)Secondary
207QA0505XFamily Medicine - Adult Medicine 200525 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Catholic Home CareFarmingdale, NYHome health agency
Good Samaritan Hospital Medical CenterWest islip, NYHospital
Northwell Hospital Glen CoveGlen cove, NYHospital
St Francis Hospital - The Heart CenterRoslyn, NYHospital
North Shore University HospitalManhasset, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chs Physician Partners Pc7618955667508

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 Andrea B Kaplan allows following entities to bill medicare on her behalf.
Entity NameChs Physician Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164585725
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027

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 Andrea B 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 Andrea B Kaplan, MD
245 Old Country Rd,
Melville, NY 11747-2726

Ph: (631) 465-6141		Dr Andrea B Kaplan, MD
2200 Northern Blvd Ste 116,
Greenvale, NY 11548-1220

Ph: (516) 609-0346

Reviews and Comments


Family Medicine Doctors in Greenvale, NY

Kornelia Mikhats,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19 Elm St, Greenvale, NY 11548
Phone: 516-660-8688    

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.