Dr Kenneth Alan Paticoff, DDS in Deer Park, NY - Medicare Oral Surgery Provider

Dr Kenneth Alan Paticoff, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Deer Park, New York. He went to State Un Of Ny, Buffalo School Of Dental Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Nassau Health Care Corporation and his current practice location is 1992 Deer Park Ave, Deer Park, New York. You can reach out to his office (for appointments etc.) via phone at (631) 667-0004.

Dr Kenneth Alan Paticoff is licensed to practice in New York (license number 043927) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174506976.

Contact Information

	Dr Kenneth Alan Paticoff, DDS
	1992 Deer Park Ave, Deer Park, NY 11729-2701
	(631) 667-0004
	(631) 667-3388

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Alan Paticoff
Gender	Male
Speciality	Oral Surgery
Experience	33 Years
Location	1992 Deer Park Ave, Deer Park, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Alan Paticoff attended and graduated from State Un Of Ny, Buffalo School Of Dental Medicine in 1991

NPI Data:

NPI Number: 1174506976
Provider Enumeration Date: 11/25/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800988544
Enrollment ID: I20070824000789

Medical Identifiers

Medical identifiers for Dr Kenneth Alan Paticoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174506976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	043927 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nassau University Medical Center	East meadow, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nassau Health Care Corporation	2961315221	171

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. Dr Kenneth Alan Paticoff allows following entities to bill medicare on his behalf.

Entity Name	Nassau Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043

Entity Name	Kenneth A. Paticoff, Dds, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285776922 PECOS PAC ID: 2769570720 Enrollment ID: O20071109000001

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. Dr Kenneth Alan Paticoff 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
Dr Kenneth Alan Paticoff, DDS 1992 Deer Park Ave, Deer Park, NY 11729-2701 Ph: (631) 667-0004	Dr Kenneth Alan Paticoff, DDS 1992 Deer Park Ave, Deer Park, NY 11729-2701 Ph: (631) 667-0004

Reviews and Comments

Dentist in Deer Park, NY

Dr. Jarrett Allan Pikser, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2100 Deer Park Ave, Deer Park, NY 11729 Phone: 634-242-0404
Dr. Mohamed El-ounsi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1992 Deer Park Ave Ste 1, Deer Park, NY 11729 Phone: 631-667-0004
Dr. Michael Kirshblum, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1990 Deer Park Ave, Deer Park, NY 11729 Phone: 631-586-7654
Todd F Raphaelson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 450 Grand Blvd, Deer Park, NY 11706 Phone: 631-667-4080 Fax: 631-667-4261
Bronwyn Joan Mcandrews, Dentist Medicare: Not Enrolled in Medicare Practice Location: Island Orthodontics, 1990 Deer Park Avenue, Deer Park, NY 11729 Phone: 631-586-7654
Dr. Charles Lipenholtz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 Deer Park Ave, Deer Park, NY 11729 Phone: 631-667-8630 Fax: 631-667-8638

Dr Kenneth Alan Paticoff, DDS - Medicare Dentist in Deer Park, NY