James Mcloughlin, MD - Medicare Anesthesiology in Plainview, NY

James Mcloughlin, MD is a medicare enrolled "Anesthesiology" physician in Plainview, New York. He went to New York Medical College and graduated in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice North Shore - Lij Anesthesiology, Pc and his current practice location is 888 Old Country Rd, Plainview, New York. You can reach out to his office (for appointments etc.) via phone at (516) 719-3000.

James Mcloughlin is licensed to practice in New York (license number 178210) 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 1134125867.

Contact Information

James Mcloughlin, MD
888 Old Country Rd,
Plainview, NY 11803-4914
(516) 719-3000
Not Available

Map and Direction




Physician's Profile

Full NameJames Mcloughlin
GenderMale
SpecialityAnesthesiology
Experience38 Years
Location888 Old Country Rd, Plainview, 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:
  • James Mcloughlin attended and graduated from New York Medical College in 1986
  NPI Data:
  • NPI Number: 1134125867
  • Provider Enumeration Date: 06/27/2005
  • Last Update Date: 10/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4981635307
  • Enrollment ID: I20050825000717

Medical Identifiers

Medical identifiers for James Mcloughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134125867NPI-NPPES
01232746MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 178210 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Plainview HospitalPlainview, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Anesthesiology, Pc1153602453779

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. James Mcloughlin allows following entities to bill medicare on his behalf.
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498

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. James Mcloughlin 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
James Mcloughlin, MD
68 S Service Rd, Suite 350,
Melville, NY 11747-2354

Ph: (703) 295-9360
James Mcloughlin, MD
888 Old Country Rd,
Plainview, NY 11803-4914

Ph: (516) 719-3000

Reviews and Comments


Anesthesiology Doctors in Plainview, NY

Dr. Brian Mayrsohn, M.D., M.S.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 146a Manetto Hill Rd Ste 100, Plainview, NY 11803
Phone: 516-523-1506    
Dr. Philip Kurlander, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 54 Phipps Ln, Plainview, NY 11803
Phone: 516-938-3467    Fax: 800-557-3140
Dr. Harvey Saul Finkelstein, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 875 Old Country Rd, Suite Ll151, Plainview, NY 11803
Phone: 516-681-0202    Fax: 516-681-0283
Robert M Scolnick, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1097 Old Country Rd, Suite 104, Plainview, NY 11803
Phone: 631-878-4642    
Dr. Ronald O. Roveto, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 43 Hofstra Dr, Plainview, NY 11803
Phone: 516-692-8455    Fax: 516-692-8455
Saul Dilson, D.O.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 888 Old Country Rd, Plainview, NY 11803
Phone: 516-719-3000    

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.