Health 1 Medical Pc is a medicare enrolled "Family Medicine" provider in Lake Grove, New York. Their current practice location is
2780 Middle Country Rd, Suite 140, Lake Grove, New York. You can reach out to their office (for appointments etc.) via phone at
(631) 580-1000.
Health 1 Medical Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Health 1 Medical 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 1639124571.
Healthcare Provider's Profile
| Full Name | Health 1 Medical Pc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 2780 Middle Country Rd, Lake Grove, 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: 1639124571
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 06/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416039060
- Enrollment ID: O20080205000063
Medical Identifiers
Medical identifiers for Health 1 Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639124571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Health 1 Medical Pc acts as a billing entity for following providers:
| Provider Name | Gary Dicanio |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1770665721
PECOS PAC ID: 9931091832
Enrollment ID: I20040325001770 |
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| Provider Name | Eduardo Rodriguez |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1891865986
PECOS PAC ID: 8224124631
Enrollment ID: I20071017000247 |
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| Provider Name | Rommel C Vargas |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1649248667
PECOS PAC ID: 9032175203
Enrollment ID: I20150728003321 |
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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. Health 1 Medical 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 |
|---|
Health 1 Medical Pc
2780 Middle Country Rd, Suite 140,
Lake Grove, NY 11755-2124
Ph: (631) 580-1000 | Health 1 Medical Pc
2780 Middle Country Rd, Suite 140,
Lake Grove, NY 11755-2124
Ph: (631) 580-1000 |
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