Jack Z Nussbaum, MD - Medicare Family Practice in Lake Ronkonkoma, NY

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Jack Z Nussbaum, MD is a medicare enrolled "Family Medicine" physician in Lake Ronkonkoma, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vytaliz Medical, Theodore Fried Burford Welch And David Hauer Md, Pc and his current practice location is 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at (631) 588-8460.

Jack Z Nussbaum is licensed to practice in New York (license number 165161) 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 1346242690.

Contact Information

Jack Z Nussbaum, MD
388 Hawkins Ave, Ste 1,
Lake Ronkonkoma, NY 11779-4280
(631) 588-8460
(631) 588-8480

Map and Direction




Physician's Profile

Full NameJack Z Nussbaum
GenderMale
SpecialityFamily Practice
Experience40 Years
Location388 Hawkins Ave, Lake Ronkonkoma, 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:
  • Jack Z Nussbaum attended and graduated from Icahn School Of Medicine At Mount Sinai in 1984
  NPI Data:
  • NPI Number: 1346242690
  • Provider Enumeration Date: 06/01/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810031598
  • Enrollment ID: I20100218000461

Medical Identifiers

Medical identifiers for Jack Z Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346242690NPI-NPPES
01824322MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 165161 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Catherine Of Siena HospitalSmithtown, NYHospital
St James Rehabilitation & Healthcare CenterSt james, NYNursing home
St Catherine Of Siena Nrsg And Rehab Care CenterSmithtown, NYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vytaliz Medical771929693848
Theodore Fried Burford Welch And David Hauer Md, Pc98300881032

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. Jack Z Nussbaum allows following entities to bill medicare on his behalf.
Entity NameTheodore Fried Burford Welch & David Hauer Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639233901
PECOS PAC ID: 9830088103
Enrollment ID: O20100218000494
Entity NameVytaliz Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568831105
PECOS PAC ID: 7719296938
Enrollment ID: O20151028002361

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. Jack Z Nussbaum 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
Jack Z Nussbaum, MD
388 Hawkins Ave, Ste 1,
Lake Ronkonkoma, NY 11779-4280

Ph: (631) 588-8460		Jack Z Nussbaum, MD
388 Hawkins Ave, Ste 1,
Lake Ronkonkoma, NY 11779-4280

Ph: (631) 588-8460

Reviews and Comments


Family Medicine Doctors in Lake Ronkonkoma, NY

Robert Frederick Mazzeo, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-737-0100
Manuel R Rosales, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779
Phone: 631-588-8460    Fax: 631-588-8480
Dr. David I Hauer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779
Phone: 631-588-8460    Fax: 631-588-8480
Dr. Bhanumathy Vinayagasundaram, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Hawkins Avenue, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-471-1117
Nina Malika Hicks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 122 Portion Rd, Lake Ronkonkoma, NY 11779
Phone: 631-588-6665    
Kimberly Barnaby, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Portion Rd Ste 2, Lake Ronkonkoma, NY 11779
Phone: 631-648-9708    Fax: 631-772-2495

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.