Dr Keith Elliot Pearlman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. His current practice location is
333a East 29th Street, Nyu Medical Center, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 263-6238.
Dr Keith Elliot Pearlman is licensed to practice in New York (license number 215714) 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 1588622088.
Physician's Profile
Full Name | Dr Keith Elliot Pearlman |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 333a East 29th Street, New York, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588622088
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 5597954925
- Enrollment ID: I20110114000908
Medical Identifiers
Medical identifiers for Dr Keith Elliot Pearlman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588622088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 215714 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 215714 (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 Keith Elliot Pearlman allows following entities to bill medicare on his behalf.
Entity Name | New York Gracie Square Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215911946 PECOS PAC ID: 5698666758 Enrollment ID: O20040320000381 |
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Entity Name | Coney Island Medical Practice Plan, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
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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 Keith Elliot Pearlman 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 Keith Elliot Pearlman, MD 550 1st Ave Nbv20 N11, Nyu School Of Medicine Department Of Psychatry, New York, NY 10016 Ph: (212) 263-6238 | Dr Keith Elliot Pearlman, MD 333a East 29th Street, Nyu Medical Center, New York, NY 10010 Ph: (212) 263-6238 |
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