Dr Benjamin Alexander Kaplan, DO - Medicare Family Practice in New York, NY

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Dr Benjamin Alexander Kaplan, DO is a medicare enrolled "Family Medicine" physician in New York, New York. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 215 E 95th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (646) 680-4227.

Dr Benjamin Alexander Kaplan is licensed to practice in New York (license number 286024) 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 1598006595.

Contact Information

Dr Benjamin Alexander Kaplan, DO
215 E 95th St,
New York, NY 10128-4077
(646) 680-4227
(212) 423-3127

Map and Direction




Physician's Profile

Full NameDr Benjamin Alexander Kaplan
GenderMale
SpecialityFamily Practice
Experience11 Years
Location215 E 95th St, New York, New York
Accepts Medicare AssignmentsYes. 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 Benjamin Alexander Kaplan graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1598006595
  • Provider Enumeration Date: 03/15/2013
  • Last Update Date: 09/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971870973
  • Enrollment ID: I20170523001263

Medical Identifiers

Medical identifiers for Dr Benjamin Alexander Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598006595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 286024 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Americare Certified Special Services, Inc ChhaBrooklyn, NYHome health agency
North Shore Home Care ChhaWestbury, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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 Benjamin Alexander Kaplan allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameAdvantagecare Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446

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 Benjamin Alexander Kaplan 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 AddressPractice Location Address
Dr Benjamin Alexander Kaplan, DO
55 Water St, 2nd Floor Cred Dept,
New York, NY 10041-0004

Ph: (646) 680-2888		Dr Benjamin Alexander Kaplan, DO
215 E 95th St,
New York, NY 10128-4077

Ph: (646) 680-4227

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.