Mark Glicklich, MD in Brewster, NY

Mark Glicklich, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Brewster, New York. His current practice location is 3839 Danbury Rd, Brewster, New York. You can reach out to his office (for appointments etc.) via phone at (845) 278-6200.

Mark Glicklich is licensed to practice in New York (license number 167925) 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 1497738199.

Contact Information

	Mark Glicklich, MD
	3839 Danbury Rd, Brewster, NY 10509-5412
	(845) 278-6200
	(845) 278-7802

Map and Direction

Physician's Profile

Full Name	Mark Glicklich
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	3839 Danbury Rd, Brewster, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497738199
Provider Enumeration Date: 11/28/2005
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5698677268
Enrollment ID: I20050419000350

Medical Identifiers

Medical identifiers for Mark Glicklich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497738199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	167925 (New York)	Secondary
2085N0700X	Radiology - Neuroradiology	167925 (New York)	Secondary
2085N0904X	Radiology - Nuclear Radiology	167925 (New York)	Secondary
2085P0229X	Radiology - Pediatric Radiology	167925 (New York)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	167925 (New York)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	167925 (New York)	Primary
2085U0001X	Radiology - Diagnostic Ultrasound	167925 (New York)	Secondary

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 Glicklich allows following entities to bill medicare on his behalf.

Entity Name	Northeast Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134118607 PECOS PAC ID: 7315838448 Enrollment ID: O20040320000188

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 Glicklich 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
Mark Glicklich, MD 3839 Danbury Rd, Brewster, NY 10509-5412 Ph: (845) 278-6200	Mark Glicklich, MD 3839 Danbury Rd, Brewster, NY 10509-5412 Ph: (845) 278-6200

Reviews and Comments

Radiology Doctors in Brewster, NY

Louis A Perez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3839 Danbury Rd, Brewster, NY 10509 Phone: 845-278-6200 Fax: 845-278-7802
Kei Doi, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3839 Danbury Rd, Northeast Radiology, Brewster, NY 10509 Phone: 845-278-6200 Fax: 845-278-1613
Sofiya Greenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3839 Danbury Rd, Brewster, NY 10509 Phone: 845-278-6200
Howard Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3839 Danbury Rd, Brewster, NY 10509 Phone: 845-278-6200 Fax: 845-278-1613
Richard Harris Cohan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12 Stableview Ln, Brewster, NY 10509 Phone: 845-363-1811
Dr. Gregory Nevsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3839 Danbury Rd, Brewster, NY 10509 Phone: 845-278-6200 Fax: 845-278-1613

Mark Glicklich, MD - Medicare Radiology in Brewster, NY