Jackson Heights Medical Care Pc is a medicare enrolled "Internal Medicine - Sleep Medicine" provider in Far Rockaway, New York. Their current practice location is
2008 Seagirt Blvd, Far Rockaway, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 565-6880.
Jackson Heights Medical Care Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jackson Heights Medical Care Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003250762.
Healthcare Provider's Profile
| Full Name | Jackson Heights Medical Care Pc |
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| Type | Facility |
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| Speciality | Internal Medicine - Sleep Medicine |
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| Location | 2008 Seagirt Blvd, Far Rockaway, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003250762
- Provider Enumeration Date: 04/24/2013
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355695008
- Enrollment ID: O20181115000213
Medical Identifiers
Medical identifiers for Jackson Heights Medical Care Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003250762 | NPI | - | NPPES |
| G100516770 | Other | NY | MEDICARE PROVIDER ID |
| 06748732 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jackson Heights Medical Care Pc acts as a billing entity for following providers:
| Provider Name | Carl A Nicoleau |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1396792867
PECOS PAC ID: 1850568643
Enrollment ID: I20120119000242 |
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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. Jackson Heights Medical Care Pc 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 |
|---|
Jackson Heights Medical Care Pc
7535 31st Ave, Suite 200,
East Elmhurst, NY 11370-1857
Ph: (718) 565-6880 | Jackson Heights Medical Care Pc
2008 Seagirt Blvd,
Far Rockaway, NY 11691-2803
Ph: (718) 565-6880 |
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