Dr Jack Italiano Iii, DO - Medicare Family Medicine in New Hyde Park, NY

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Dr Jack Italiano Iii, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in New Hyde Park, New York. His current practice location is 1999 Marcus Ave Ste 202, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at (516) 467-8600.

Dr Jack Italiano Iii is licensed to practice in New York (license number 327932) 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 1629606124.

Contact Information

Dr Jack Italiano Iii, DO
1999 Marcus Ave Ste 202,
New Hyde Park, NY 11042-1021
(516) 467-8600
(646) 754-9820

Map and Direction




Physician's Profile

Full NameDr Jack Italiano Iii
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location1999 Marcus Ave Ste 202, New Hyde Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629606124
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 04/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456779750
  • Enrollment ID: I20240805002222

Medical Identifiers

Medical identifiers for Dr Jack Italiano Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629606124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 327932 (New York)Secondary
207QS0010XFamily Medicine - Sports Medicine 327932 (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 Jack Italiano Iii allows following entities to bill medicare on his behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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 Jack Italiano Iii 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 Jack Italiano Iii, DO
1999 Marcus Ave Ste 202,
New Hyde Park, NY 11042-1021

Ph: (516) 467-8600		Dr Jack Italiano Iii, DO
1999 Marcus Ave Ste 202,
New Hyde Park, NY 11042-1021

Ph: (516) 467-8600

Reviews and Comments


Family Medicine Doctors in New Hyde Park, NY

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Boahen Owusu Kwakye, AGNP
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Martha Arden, MD
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Mrs. Adelina Fazilov, FNP
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Phone: 516-487-9454    Fax: 516-487-2745
Dr. Anam Sarfaraz, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042
Phone: 516-354-1600    Fax: 516-941-4677
Jennifer Pothen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Dakota Dr Ste 218, New Hyde Park, NY 11042
Phone: 516-488-9700    Fax: 516-488-8826

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.