Dr Thomas Overholt, MD is a medicare enrolled "Hospitalist" physician in Port Jefferson, New York. He went to Pennsylvania State University College Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lancaster General Hospital and his current practice location is
75 N Country Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 686-7654.
Dr Thomas Overholt is licensed to practice in New York (license number 2359411) 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 1043310568.
Physician's Profile
Full Name | Dr Thomas Overholt |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 45 Years |
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Location | 75 N Country Rd, Port Jefferson, New York |
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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 Thomas Overholt attended and graduated from Pennsylvania State University College Of Medicine in 1979
NPI Data:
- NPI Number: 1043310568
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688574312
- Enrollment ID: I20071010000374
Medical Identifiers
Medical identifiers for Dr Thomas Overholt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043310568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 2359411 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lancaster General Hospital | 1254240039 | 408 |
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 Overholt allows following entities to bill medicare on his behalf.
Entity Name | Lancaster General Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1730323759 PECOS PAC ID: 1254240039 Enrollment ID: O20090710000234 |
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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 Thomas Overholt 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 Thomas Overholt, MD 625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316 Ph: (631) 473-1320 | Dr Thomas Overholt, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 686-7654 |
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