Issam Beydoun, DO - Medicare Emergency Medicine in New York, NY

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Issam Beydoun, DO is a medicare enrolled "Emergency Medicine" physician in New York, New York. His current practice location is 1901 1st Ave # 2a31, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6684.

Issam Beydoun is licensed to practice in New York (license number 322723) 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 1912585571.

Contact Information

Issam Beydoun, DO
1901 1st Ave # 2a31,
New York, NY 10029-7494
(212) 423-6684
Not Available

Map and Direction




Physician's Profile

Full NameIssam Beydoun
GenderMale
SpecialityEmergency Medicine
Location1901 1st Ave # 2a31, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912585571
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799127510
  • Enrollment ID: I20240524002235

Medical Identifiers

Medical identifiers for Issam Beydoun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912585571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 93621 (South Carolina)Secondary
207P00000XEmergency Medicine DO-06771 (Iowa)Secondary
207P00000XEmergency Medicine 322723 (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. Issam Beydoun allows following entities to bill medicare on his behalf.
Entity NameJamaica Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477505220
PECOS PAC ID: 2264324334
Enrollment ID: O20040427001519
Entity NameHarlem Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487957692
PECOS PAC ID: 9335321223
Enrollment ID: O20110315000005
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270
Entity NamePhysicians Medical Associates New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073386421
PECOS PAC ID: 7618310368
Enrollment ID: O20240209000066

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. Issam Beydoun 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
Issam Beydoun, DO
1901 1st Ave # 2a31,
New York, NY 10029-7494

Ph: (212) 423-6684		Issam Beydoun, DO
1901 1st Ave # 2a31,
New York, NY 10029-7494

Ph: (212) 423-6684

Reviews and Comments


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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.