David Portnoy, is a medicare enrolled "General Practice" physician in Oceanside, New York. His current practice location is
1 Healthy Way, Oceanside, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 632-3000.
David Portnoy is licensed to practice in Connecticut (license number 118247399) 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 1619402559.
Physician's Profile
Full Name | David Portnoy |
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Gender | Male |
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Speciality | General Practice |
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Location | 1 Healthy Way, Oceanside, 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: 1619402559
- Provider Enumeration Date: 04/28/2017
- Last Update Date: 04/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 9133464464
- Enrollment ID: I20201130001418
Medical Identifiers
Medical identifiers for David Portnoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619402559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 118247399 (Connecticut) | 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. David Portnoy allows following entities to bill medicare on his behalf.
Entity Name | Charles Evans Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
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Entity Name | Md 365 Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841531142 PECOS PAC ID: 2365784113 Enrollment ID: O20190429000735 |
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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. David Portnoy 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 |
David Portnoy, 1 Healthy Way, Oceanside, NY 11572-1551 Ph: () - | David Portnoy, 1 Healthy Way, Oceanside, NY 11572-1551 Ph: (516) 632-3000 |
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