Dr Carole Agin, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Lake Success, New York. Her current practice location is
3 Delaware Drive, Lake Success, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 622-6105.
Dr Carole Agin is licensed to practice in New York (license number 174472) 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 1285670125.
Physician's Profile
| Full Name | Dr Carole Agin |
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| Gender | Female |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 3 Delaware Drive, Lake Success, 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. |
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NPI Data:
- NPI Number: 1285670125
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 01/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 9739212754
- Enrollment ID: I20100728000285
Medical Identifiers
Medical identifiers for Dr Carole Agin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285670125 | NPI | - | NPPES |
| 4214595 | Other | NY | AETNA |
| 8L0091 | Other | NY | EMPIRE BC.BS |
| 01607469 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 174472 (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. Dr Carole Agin allows following entities to bill medicare on her behalf.
| Entity Name | Prohealth Care Associates Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468 |
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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. Dr Carole Agin 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 Carole Agin, MD
2800 Marcus Avenue,
Lake Success, NY 11042
Ph: (516) 622-6000 | Dr Carole Agin, MD
3 Delaware Drive,
Lake Success, NY 11042-3495
Ph: (516) 622-6105 |
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