Dr Edward M Baron, MD - Medicare Ophthalmology in Valley Stream, NY

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Dr Edward M Baron, MD is a medicare enrolled "Ophthalmology" physician in Valley Stream, New York. He went to State University Of New York Downstate Medical Center and graduated in 1983 and has 41 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Sight Medical Doctors Pllc and his current practice location is 65 Roosevelt Ave, Ste 204, Valley Stream, New York. You can reach out to his office (for appointments etc.) via phone at (516) 374-4199.

Dr Edward M Baron is licensed to practice in New York (license number 162404) 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 1699770586.

Contact Information

Dr Edward M Baron, MD
65 Roosevelt Ave, Ste 204,
Valley Stream, NY 11581-1106
(516) 374-4199
(516) 295-5303

Map and Direction




Physician's Profile

Full NameDr Edward M Baron
GenderMale
SpecialityOphthalmology
Experience41 Years
Location65 Roosevelt Ave, Valley Stream, 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 Edward M Baron attended and graduated from State University Of New York Downstate Medical Center in 1983
  NPI Data:
  • NPI Number: 1699770586
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 05/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961455811
  • Enrollment ID: I20050302001058

Medical Identifiers

Medical identifiers for Dr Edward M Baron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699770586NPI-NPPES
01128436MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 162404 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sight Medical Doctors Pllc599193517397

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 Edward M Baron allows following entities to bill medicare on his behalf.
Entity NameSight Medical Doctors Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487077483
PECOS PAC ID: 5991935173
Enrollment ID: O20140310000579
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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 Edward M Baron 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 Edward M Baron, MD
375 E Main St, Ste 24,
Bay Shore, NY 11706-8418

Ph: (516) 872-8309		Dr Edward M Baron, MD
65 Roosevelt Ave, Ste 204,
Valley Stream, NY 11581-1106

Ph: (516) 374-4199

Reviews and Comments


Ophthalmology Doctors in Valley Stream, NY

Dr. Michael Swerdin, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 70 E Sunrise Hwy Ste 400, Valley Stream, NY 11581
Phone: 516-374-4199    
Dr. Gerard D'aversa, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 70 E Sunrise Hwy Ste 400, Valley Stream, NY 11581
Phone: 516-374-4199    Fax: 516-295-5303
Dr. Marta Mckeague, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 70 E Sunrise Hwy Ste 400, Valley Stream, NY 11581
Phone: 516-374-4199    

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.