South Shore Medical Care &diagnostic, Pc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Holbrook, New York. Their current practice location is
4250 Veterans Memorial Hwy, Suite 1020, Holbrook, New York. You can reach out to their office (for appointments etc.) via phone at
(631) 737-5143.
South Shore Medical Care &diagnostic, Pc is licensed to practice in New York (license number 1867861) and it also participates in the medicare program. South Shore Medical Care &diagnostic, 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 1700054954.
Healthcare Provider's Profile
| Full Name | South Shore Medical Care &diagnostic, Pc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 4250 Veterans Memorial Hwy, Holbrook, 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: 1700054954
- Provider Enumeration Date: 02/11/2008
- Last Update Date: 02/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 0345213351
- Enrollment ID: O20040818000093
Medical Identifiers
Medical identifiers for South Shore Medical Care &diagnostic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700054954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | C09215 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1867861 (New York) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2192491 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South Shore Medical Care &diagnostic, Pc acts as a billing entity for following providers:
| Provider Name | Andrea S Coladner |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1558455188
PECOS PAC ID: 0840263851
Enrollment ID: I20040818000058 |
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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. South Shore Medical Care &diagnostic, 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 |
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South Shore Medical Care &diagnostic, Pc
4250 Veterans Memorial Hwy, Suite 1020,
Holbrook, NY 11741-4000
Ph: (631) 737-5143 | South Shore Medical Care &diagnostic, Pc
4250 Veterans Memorial Hwy, Suite 1020,
Holbrook, NY 11741-4000
Ph: (631) 737-5143 |
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