Anjumon A Amin, MD is a medicare enrolled "Pediatrics" physician in Shirley, New York. Her current practice location is
550 Montauk Highway, Shirley, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 852-1001.
Anjumon A Amin is licensed to practice in New York (license number 196797) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891704011.
Physician's Profile
Full Name | Anjumon A Amin |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 550 Montauk Highway, Shirley, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891704011
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 12/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 6709103922
- Enrollment ID: I20150327001808
Medical Identifiers
Medical identifiers for Anjumon A Amin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891704011 | NPI | - | NPPES |
01770167 | Medicaid | NY | |
370008547 | Other | | RR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 196797 (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. Anjumon A Amin allows following entities to bill medicare on her behalf.
Entity Name | Sun River Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
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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. Anjumon A Amin 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 |
Anjumon A Amin, MD 19 Oakdale Ave, Farmingville, NY 11738 Ph: (631) 736-8589 | Anjumon A Amin, MD 550 Montauk Highway, Shirley, NY 11967 Ph: (631) 852-1001 |
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