Dr Eric H Schultheis, MD - Medicare Pediatrics in Plainview, NY

Dr Eric H Schultheis, MD is a medicare enrolled "Pediatrics" physician in Plainview, New York. His current practice location is 146 Manetto Hill Rd, Suite 120, Plainview, New York. You can reach out to his office (for appointments etc.) via phone at (516) 931-2200.

Dr Eric H Schultheis is licensed to practice in New York (license number 180431) 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 1316948763.

Contact Information

Dr Eric H Schultheis, MD
146 Manetto Hill Rd, Suite 120,
Plainview, NY 11803-1324
(516) 931-2200
(516) 931-4047

Map and Direction




Physician's Profile

Full NameDr Eric H Schultheis
GenderMale
SpecialityPediatrics
Location146 Manetto Hill Rd, Plainview, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316948763
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 09/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4385060714
  • Enrollment ID: I20200817002027

Medical Identifiers

Medical identifiers for Dr Eric H Schultheis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316948763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 180431 (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 Eric H Schultheis allows following entities to bill medicare on his 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 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. Dr Eric H Schultheis 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 Eric H Schultheis, MD
146 Manetto Hill Rd, Suite 120,
Plainview, NY 11803-1324

Ph: (516) 931-2200
Dr Eric H Schultheis, MD
146 Manetto Hill Rd, Suite 120,
Plainview, NY 11803-1324

Ph: (516) 931-2200

Reviews and Comments


Pediatrics Doctors in Plainview, NY

Dr. Brad E. Fell, M.D.
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Phone: 516-931-4343    Fax: 516-931-0347
Edna R Lord, MD
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Dr. Roxanne George, M.D.
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Phone: 516-719-3000    Fax: 516-719-2728
Dr. Rosemarie Read,
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Practice Location: 100 Manetto Hill Rd, Suite 302, Plainview, NY 11803
Phone: 516-931-7337    Fax: 516-931-7444
Charles S Swersky, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1021 Old Country Rd, Plainview, NY 11803
Phone: 516-935-4343    Fax: 516-935-2441
Dr. Nancy Lippman,
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Manetto Hill Rd, Suite 302, Plainview, NY 11803
Phone: 516-931-7337    Fax: 516-931-7444

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).

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