Israel Birnbaum, PHD in West Islip, NY - Medicare Psychologist Provider

Israel Birnbaum, PHD is a medicare enrolled "Psychologist - Clinical" provider in West Islip, New York. His current practice location is 111 Beach Dr, West Islip, New York. You can reach out to his office (for appointments etc.) via phone at (631) 587-1600.

Israel Birnbaum is licensed to practice in New York (license number 005888-1) 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 1790720159.

Contact Information

	Israel Birnbaum, PHD
	111 Beach Dr, West Islip, NY 11795-4929
	(631) 587-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Israel Birnbaum
Gender	Male
Speciality	Psychologist - Clinical
Location	111 Beach Dr, West Islip, 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: 1790720159
Provider Enumeration Date: 06/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3870780711
Enrollment ID: I20101206000133

Medical Identifiers

Medical identifiers for Israel Birnbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790720159	NPI	-	NPPES
01616215	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	005888-1 (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. Israel Birnbaum allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Healthcare Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275962011 PECOS PAC ID: 1557599313 Enrollment ID: O20140124001195

Entity Name	New York General Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151

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. Israel Birnbaum 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
Israel Birnbaum, PHD 1 Old Country Rd, Suite 271, Carle Place, NY 11514-1801 Ph: (800) 725-6280	Israel Birnbaum, PHD 111 Beach Dr, West Islip, NY 11795-4929 Ph: (631) 587-1600

Reviews and Comments

Psychologist in West Islip, NY

Dr. Marisa Dana Hammock, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 203 Tahlulah Ln, West Islip, NY 11795 Phone: 516-241-4693
Dr. Joseph Thomas Costello, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Sequams Ln W, West Islip, NY 11795 Phone: 631-669-8230
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Dr. Cristin Ann Hammel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Montauk Hwy, Suite 112, West Islip, NY 11795 Phone: 631-321-7107 Fax: 631-321-7108
Dr. Philip D. Stein, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Montauk Hwy, Ste 106, West Islip, NY 11795 Phone: 516-739-2133 Fax: 516-739-2133
Dr. Chelsea Emerman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Montauk Hwy Ste 112, West Islip, NY 11795 Phone: 631-321-7107
Dr. Lindsay Karabelas, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Montauk Hwy, Suite 112, West Islip, NY 11795 Phone: 631-321-7107

Israel Birnbaum, PHD - Medicare Psychologist in West Islip, NY