Dr Emerth Lance Coburn, MD - Medicare Family Medicine in Queens Village, NY

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Dr Emerth Lance Coburn, MD is a medicare enrolled "Family Medicine" physician in Queens Village, New York. His current practice location is 21401 110th Ave, Queens Village, New York. You can reach out to his office (for appointments etc.) via phone at (929) 615-6447.

Dr Emerth Lance Coburn is licensed to practice in New York (license number 198832) 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 1477544096.

Contact Information

Dr Emerth Lance Coburn, MD
21401 110th Ave,
Queens Village, NY 11429-1906
(929) 615-6447
(718) 276-4783

Map and Direction




Physician's Profile

Full NameDr Emerth Lance Coburn
GenderMale
SpecialityFamily Medicine
Location21401 110th Ave, Queens Village, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477544096
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 03/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022088806
  • Enrollment ID: I20040728001712

Medical Identifiers

Medical identifiers for Dr Emerth Lance Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477544096NPI-NPPES
01617674MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 198832 (New York)Secondary
207Q00000XFamily Medicine 198832 (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. Dr Emerth Lance Coburn allows following entities to bill medicare on his behalf.
Entity NamePeyman Younesi Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891053328
PECOS PAC ID: 4981860202
Enrollment ID: O20120731000499
Entity NameMy Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518637891
PECOS PAC ID: 0143610600
Enrollment ID: O20211124001353
Entity NameLagrangeville Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861153322
PECOS PAC ID: 8527440148
Enrollment ID: O20220729000066
Entity NameFresh Meadows Physician Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720775083
PECOS PAC ID: 0941657811
Enrollment ID: O20231114003265
Entity NameMedical Services Of Northeastern Queens Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184311441
PECOS PAC ID: 4587013446
Enrollment ID: O20231218002332
Entity NamePy Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043081524
PECOS PAC ID: 2961840319
Enrollment ID: O20240403003443

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 Emerth Lance Coburn 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 Emerth Lance Coburn, MD
214-01 110th Avenue,
Queens Village, NY 11429

Ph: (718) 276-4482		Dr Emerth Lance Coburn, MD
21401 110th Ave,
Queens Village, NY 11429-1906

Ph: (929) 615-6447

Reviews and Comments


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Phone: 718-465-7746    Fax: 718-465-9911

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.