Jared Amir Mendoune, - Medicare Physician Assistant in Port Jefferson, NY

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Jared Amir Mendoune, is a medicare enrolled "Physician Assistant" in Port Jefferson, New York. His current practice location is 200 Belle Terre Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 474-6000.

Jared Amir Mendoune is licensed to practice in NU (license number ) 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 1780330605.

Contact Information

Jared Amir Mendoune,
200 Belle Terre Rd,
Port Jefferson, NY 11777-1928
(631) 474-6000
Not Available

Map and Direction




Provider's Profile

Full NameJared Amir Mendoune
GenderMale
SpecialityPhysician Assistant
Location200 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780330605
  • Provider Enumeration Date: 03/01/2022
  • Last Update Date: 03/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042680639
  • Enrollment ID: I20221222001282

Medical Identifiers

Medical identifiers for Jared Amir Mendoune such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780330605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)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. Jared Amir Mendoune allows following entities to bill medicare on his behalf.
Entity NameIsland Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639160385
PECOS PAC ID: 4981503513
Enrollment ID: O20040102000662
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376642371
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754
Entity NamePort Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912988395
PECOS PAC ID: 1456376177
Enrollment ID: O20051012000370
Entity NameSiena Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356507099
PECOS PAC ID: 9830257625
Enrollment ID: O20081023000132
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467249334
PECOS PAC ID: 1254237753
Enrollment ID: O20250701003602

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. Jared Amir Mendoune 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
Jared Amir Mendoune,
37 Perri Cir,
Middle Island, NY 11953-2660

Ph: (631) 624-4605		Jared Amir Mendoune,
200 Belle Terre Rd,
Port Jefferson, NY 11777-1928

Ph: (631) 474-6000

Reviews and Comments


Physician Assistant Nurses in Port Jefferson, NY

Ms. Christie Lee Cotty, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777
Phone: 631-298-4008    
Loretta Didwell,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-474-4667
Igor Lizogubenko, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Julia Elizabeth Fitzpatrick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    Fax: 631-306-7949
Casey Ward, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    
Mr. Matthew Delph, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Francis Richard Sicari, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-473-1320    

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.