Dr Mark Sperber, MD - Medicare Pediatric Medicine in Lawrence, NY

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Dr Mark Sperber, MD is a medicare enrolled "Pediatrics" physician in Lawrence, New York. He went to State University Of New York Downstate Medical Center and graduated in 1980 and has 45 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Optum Medical Care Pc and his current practice location is 287 Rockaway Tpke, Lawrence, New York. You can reach out to his office (for appointments etc.) via phone at (516) 371-5437.

Dr Mark Sperber is licensed to practice in New York (license number 149784) 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 1427072677.

Contact Information

Dr Mark Sperber, MD
287 Rockaway Tpke,
Lawrence, NY 11559-1233
(516) 371-5437
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Sperber
GenderMale
SpecialityPediatric Medicine
Experience45 Years
Location287 Rockaway Tpke, Lawrence, 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 Mark Sperber attended and graduated from State University Of New York Downstate Medical Center in 1980
  NPI Data:
  • NPI Number: 1427072677
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092061879
  • Enrollment ID: I20180710000230

Medical Identifiers

Medical identifiers for Dr Mark Sperber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427072677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 149784 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Medical Care Pc9931013240979

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 Sperber allows following entities to bill medicare on his behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468

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 Sperber 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 Sperber, MD
748 Longacre Ave,
Woodmere, NY 11598-2354

Ph: (516) 371-5437		Dr Mark Sperber, MD
287 Rockaway Tpke,
Lawrence, NY 11559-1233

Ph: (516) 371-5437

Reviews and Comments


Pediatrics Doctors in Lawrence, NY

Deborah J Lief-dienstag, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 379 Broadway, Lawrence, NY 11559
Phone: 516-569-4768    Fax: 516-569-4180
Arthur Charles Krigsman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 290 Central Ave, Suite 204, Lawrence, NY 11559
Phone: 516-239-4123    Fax: 516-239-4099

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.