Mr Timothy Richard Dackow, NURSE PRACTITIONER - Medicare Nurse Practitioner in East Moriches, NY

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Mr Timothy Richard Dackow, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in East Moriches, New York. His current practice location is 7 Newpoint Ln, East Moriches, New York. You can reach out to his office (for appointments etc.) via phone at (516) 322-8850.

Mr Timothy Richard Dackow is licensed to practice in New York (license number F3088261) 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 1144700741.

Contact Information

Mr Timothy Richard Dackow, NURSE PRACTITIONER
7 Newpoint Ln,
East Moriches, NY 11940-1565
(516) 322-8850
Not Available

Map and Direction




Provider's Profile

Full NameMr Timothy Richard Dackow
GenderMale
SpecialityNurse Practitioner - Adult Health
Location7 Newpoint Ln, East Moriches, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144700741
  • Provider Enumeration Date: 08/14/2018
  • Last Update Date: 08/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406107002
  • Enrollment ID: I20180920002132

Medical Identifiers

Medical identifiers for Mr Timothy Richard Dackow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144700741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F3088261 (New York)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. Mr Timothy Richard Dackow allows following entities to bill medicare on his behalf.
Entity NameLong Island Community Hospital At Nyu Langone Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417232760
PECOS PAC ID: 9739090051
Enrollment ID: O20031218000695
Entity NameStony Brook Internists University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035601
PECOS PAC ID: 9133019821
Enrollment ID: O20040416000248
Entity NamePartners In Critical Care Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053486670
PECOS PAC ID: 9234239823
Enrollment ID: O20070711000875
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameMedical House Calls Of The North Fork, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083009476
PECOS PAC ID: 3870895915
Enrollment ID: O20160107000283

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. Mr Timothy Richard Dackow 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
Mr Timothy Richard Dackow, NURSE PRACTITIONER
7 Newpoint Ln,
East Moriches, NY 11940-1565

Ph: (516) 322-8850		Mr Timothy Richard Dackow, NURSE PRACTITIONER
7 Newpoint Ln,
East Moriches, NY 11940-1565

Ph: (516) 322-8850

Reviews and Comments


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Danielle Marie Pollaro, FNP
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Phone: 631-638-2900    Fax: 631-878-8083

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.