Dr Thomas John Duggan, MD - Medicare Pediatrics in Mineola, NY

Dr Thomas John Duggan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mineola, New York. His current practice location is 259 1st St, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-3853.

Dr Thomas John Duggan is licensed to practice in New York (license number 281020) 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 1164781084.

Contact Information

Dr Thomas John Duggan, MD
259 1st St,
Mineola, NY 11501-3957
(516) 663-3853
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas John Duggan
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164781084
  • Provider Enumeration Date: 05/11/2012
  • Last Update Date: 09/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830421270
  • Enrollment ID: I20191104002429

Medical Identifiers

Medical identifiers for Dr Thomas John Duggan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164781084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 281020 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 281020 (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 Thomas John Duggan allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Of Brooklyn, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366506271
PECOS PAC ID: 0749192284
Enrollment ID: O20040401000120
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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 Thomas John Duggan 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 Thomas John Duggan, MD
450 Clarkson Ave,
Brooklyn, NY 11203-2012

Ph: () -
Dr Thomas John Duggan, MD
259 1st St,
Mineola, NY 11501-3957

Ph: (516) 663-3853

Reviews and Comments


Pediatrics Doctors in Mineola, NY

Manisha Sakore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-3853    Fax: 516-663-8955
Dr. Kim Ann Rutherford, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 717-531-8955    
Dr. Louise Marie Castiglia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 156 First Street, Mineola, NY 11501
Phone: 516-741-4082    
Estela De Los Angeles Noyola, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St Dept Of, Mineola, NY 11501
Phone: 516-663-2288    Fax: 516-663-8955
Kaitlin Boehm, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-8766    
Dr. Julie Weiser-shlefstein, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 County Seat Drive, Mineola, NY 11501
Phone: 516-227-9501    Fax: 517-227-9644
Rolando Capati Guevarra, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501
Phone: 516-663-8534    Fax: 516-663-8297

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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