Mark A Gelfand, MD - Medicare Plastic And Reconstructive Surgery in East Setauket, NY

Mark A Gelfand, MD is a medicare enrolled "Plastic Surgery" physician in East Setauket, New York. He went to State University Of Ny Upstate Medical University and graduated in 2000 and has 24 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Legacy Clinics Llc and his current practice location is 24 Research Way, East Setauket, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-4666.

Mark A Gelfand is licensed to practice in New York (license number 234242) 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 1659546992.

Contact Information

Mark A Gelfand, MD
24 Research Way,
East Setauket, NY 11733-3487
(631) 444-4666
Not Available

Map and Direction




Physician's Profile

Full NameMark A Gelfand
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience24 Years
Location24 Research Way, East Setauket, 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:
  • Mark A Gelfand attended and graduated from State University Of Ny Upstate Medical University in 2000
  NPI Data:
  • NPI Number: 1659546992
  • Provider Enumeration Date: 04/28/2008
  • Last Update Date: 04/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0345316170
  • Enrollment ID: I20161220001278

Medical Identifiers

Medical identifiers for Mark A Gelfand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659546992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 234242 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004603

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. Mark A Gelfand allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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. Mark A Gelfand 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
Mark A Gelfand, MD
Po Box 1559,
Stony Brook, NY 11790-0989

Ph: (631) 444-0650
Mark A Gelfand, MD
24 Research Way,
East Setauket, NY 11733-3487

Ph: (631) 444-4666

Reviews and Comments


Plastic Surgery Doctors in East Setauket, NY

Hilton C Adler, MD.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 Belle Meade Road Suite 1, East Setauket, NY 11733
Phone: 631-751-4400    Fax: 631-689-2375
Jason C Ganz, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 24 Research Way, East Setauket, NY 11733
Phone: 631-444-4666    
Cristina Dracea, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 Belle Meade Rd, Suite 1, Suffolk Plastic Surgeons, Pc, East Setauket, NY 11733
Phone: 631-751-4400    Fax: 631-689-2375
Stephen F Coccaro, MD.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 Belle Meade Road Suite 1, East Setauket, NY 11733
Phone: 631-751-4400    Fax: 631-689-2375
Kenneth C Kneessy, MD.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 179 Belle Meade Road Suite 1, East Setauket, NY 11733
Phone: 631-751-4400    Fax: 631-689-2375

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.