Dr James Andrew Higgins, DO - Medicare Family Practice in East Islip, NY

Dr James Andrew Higgins, DO is a medicare enrolled "Family Medicine" physician in East Islip, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Primary Partnercare Physicians Pllc and his current practice location is 11 Carleton Ave, East Islip, New York. You can reach out to his office (for appointments etc.) via phone at (631) 224-7474.

Dr James Andrew Higgins is licensed to practice in New York (license number 206307) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083708697.

Contact Information

Dr James Andrew Higgins, DO
11 Carleton Ave,
East Islip, NY 11730-2108
(631) 224-7474
(631) 224-8940

Map and Direction




Physician's Profile

Full NameDr James Andrew Higgins
GenderMale
SpecialityFamily Practice
Experience35 Years
Location11 Carleton Ave, East Islip, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Andrew Higgins attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1989
  NPI Data:
  • NPI Number: 1083708697
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 08/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5092709592
  • Enrollment ID: I20040408000829

Medical Identifiers

Medical identifiers for Dr James Andrew Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083708697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 206307 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Partnercare Physicians Pllc963859358519

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 James Andrew Higgins allows following entities to bill medicare on his behalf.
Entity NamePrimary Partnercare Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891318168
PECOS PAC ID: 9638593585
Enrollment ID: O20200723003709

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 James Andrew Higgins 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 James Andrew Higgins, DO
11 Carleton Ave,
East Islip, NY 11730-2108

Ph: (631) 224-7474
Dr James Andrew Higgins, DO
11 Carleton Ave,
East Islip, NY 11730-2108

Ph: (631) 224-7474

Reviews and Comments


Family Medicine Doctors in East Islip, NY

Dr. John Stephen Walsh, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 369 East Main Street, Suite 3, East Islip, NY 11730
Phone: 631-381-4500    Fax: 631-581-5905
Stanley Blyskal, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 126 E Main St, Ste 1, East Islip, NY 11730
Phone: 631-581-0090    Fax: 631-581-2879
Dr. Nicole Darrow, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 E Main St Ste 1, East Islip, NY 11730
Phone: 631-581-0090    Fax: 631-358-7279
Dr. Richard Zito, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 69 Bayview Ave, East Islip, NY 11730
Phone: 631-446-1924    Fax: 631-277-0899
Robert F Ruggiero,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 E Main St, East Islip, NY 11730
Phone: 631-581-0090    Fax: 631-581-2879
Dr. Michael Ladinsky, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 E Main St, Ste1, East Islip, NY 11730
Phone: 631-581-0090    Fax: 631-581-2879

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.