Dr Bettina S Niederer, MD - Pediatrics in Lake Ronkonkoma, NY

Dr Bettina S Niederer, MD is a Pediatrics physician based in Lake Ronkonkoma, New York. Dr Bettina S Niederer is licensed to practice in New York (license number 136981) and her current practice location is 640 Hawkins Ave, Lake Ronkonkoma, New York. She can be reached at her office (for appointments etc.) via phone at (631) 737-0100.

NPI number for Dr Bettina S Niederer is 1174560684 and her current mailing address is 640 Hawkins Ave, Lake Ronkonkoma, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174560684.

Contact Information

Dr Bettina S Niederer, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324
(631) 737-0100
(631) 417-1117

Map and Direction




Physician's Profile

Full NameDr Bettina S Niederer
GenderFemale
SpecialityPediatrics
Location640 Hawkins Ave, Lake Ronkonkoma, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174560684
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Bettina S Niederer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174560684NPI-NPPES
00821994MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 136981 (New York)Primary

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 Bettina S Niederer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bettina S Niederer, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324

Ph: (631) 737-0100
Dr Bettina S Niederer, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324

Ph: (631) 737-0100

Reviews and Comments


Pediatrics Doctors in Lake Ronkonkoma, NY

Mohinder K Guram, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-417-1117
Zenaida Reyes Ignacio-cruz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 42 Metzner Rd, Lake Ronkonkoma, NY 11779
Phone: 631-588-4443    Fax: 631-588-1261

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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.

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