Dr Mark Lowenheim, MD - Medicare Pediatrics in Port Jefferson, NY

Dr Mark Lowenheim, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Port Jefferson, New York. His current practice location is 200 Belle Terre Rd, Suite 400, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 403-4507.

Dr Mark Lowenheim is licensed to practice in New York (license number 170700) 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 1285676429.

Contact Information

Dr Mark Lowenheim, MD
200 Belle Terre Rd, Suite 400,
Port Jefferson, NY 11777-1928
(631) 403-4507
(631) 509-4614

Map and Direction




Physician's Profile

Full NameDr Mark Lowenheim
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location200 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285676429
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 06/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5799869525
  • Enrollment ID: I20080303000573

Medical Identifiers

Medical identifiers for Dr Mark Lowenheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285676429NPI-NPPES
01209796MedicaidNY
21F92OtherNYEMPIRE BC.BS
4229601OtherNYAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology 170700 (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 Mark Lowenheim allows following entities to bill medicare on his behalf.
Entity NameSt Charles Hospital Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497765630
PECOS PAC ID: 6103733050
Enrollment ID: O20050205000015

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 Mark Lowenheim 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 Mark Lowenheim, MD
200 Belle Terre Rd, Suite 400,
Port Jefferson, NY 11777-1928

Ph: (631) 403-4507
Dr Mark Lowenheim, MD
200 Belle Terre Rd, Suite 400,
Port Jefferson, NY 11777-1928

Ph: (631) 403-4507

Reviews and Comments


Pediatrics Doctors in Port Jefferson, NY

Sana Amber Hameedi, D.O
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
James P. Cavanagh, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6205    Fax: 631-476-5602
Dr. Mary Cherian Palathra, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6205    
Dr. Roberta Nataloni,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Nancy Strong,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Dr. Juliette Avigdor Trope, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11777
Phone: 631-474-6205    

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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