Dr John Depetrillo Jr, MD in Forest Hills, NY

Dr John Depetrillo Jr, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Forest Hills, New York. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Critical Care Medical Management Associates Pllc, Ccmma Nj Llc and his current practice location is 10201 66th Rd, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 830-4359.

Dr John Depetrillo Jr is licensed to practice in New York (license number 250815) 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 1013127562.

Contact Information

	Dr John Depetrillo Jr, MD
	10201 66th Rd, Forest Hills, NY 11375-2029
	(718) 830-4359
	(718) 830-1015

Map and Direction

Physician's Profile

Full Name	Dr John Depetrillo Jr
Gender	Male
Speciality	Internal Medicine
Experience	20 Years
Location	10201 66th Rd, Forest Hills, New York
Accepts Medicare Assignments	Yes. 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 John Depetrillo Jr graduated from medical school in 2005

NPI Data:

NPI Number: 1013127562
Provider Enumeration Date: 05/23/2007
Last Update Date: 09/02/2014

Medicare PECOS Information:

PECOS PAC ID: 7618146283
Enrollment ID: I20110816000776

Medical Identifiers

Medical identifiers for Dr John Depetrillo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013127562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	250815-1 (New York)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	250815-1 (New York)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	250815 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's General Hospital	Passaic, NJ	Hospital
Saint Clare's Hospital/ Denville Campus	Denville, NJ	Hospital
Shore Medical Center	Somers point, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Critical Care Medical Management Associates Pllc	4880844521	19
Ccmma Nj Llc	8123392495	20

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 John Depetrillo Jr allows following entities to bill medicare on his behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Critical Care Medical Management Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194090878 PECOS PAC ID: 4880844521 Enrollment ID: O20121016000010

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 John Depetrillo Jr 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 Address	Practice Location Address
Dr John Depetrillo Jr, MD 2249 35th St, Apt 1, Astoria, NY 11105-2206 Ph: (516) 509-6501	Dr John Depetrillo Jr, MD 10201 66th Rd, Forest Hills, NY 11375-2029 Ph: (718) 830-4359

Reviews and Comments

Internal Medicine Doctors in Forest Hills, NY

Ayesha Asgher Ranjah, Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375 Phone: 718-263-4600
Dr. Savi Mushiyev, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10250 62nd Rd Apt 3g, Forest Hills, NY 11375 Phone: 917-685-0804
Sangam B Jhaveri, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 102-01 66th Road, Forest Hills, NY 11375 Phone: 718-806-1434 Fax: 718-806-1435
Bella Sandler, MD Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 104-20 Queens Blvd, Suite 1w, Forest Hills, NY 11375 Phone: 718-719-2071 Fax: 718-719-2075
Dr. Daniel Horacio Wasserman, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11203 Queens Blvd, Suite 207, Forest Hills, NY 11375 Phone: 718-544-7077 Fax: 718-261-4476
Dr. Ida Messana, M.D. , F.A.C.P. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 109-33 71 Road, Suite 2e, Forest Hills, NY 11375 Phone: 718-263-4345 Fax: 718-793-5607

Dr John Depetrillo Jr, MD - Medicare Internal Medicine in Forest Hills, NY