Dr Jack J Sobrin, DO is a medicare enrolled "Pediatrics" physician in Pleasant Valley, New York. His current practice location is
1539 Main St Unit D, Pleasant Valley, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 723-4499.
Dr Jack J Sobrin is licensed to practice in New York (license number 205611) 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 1588662241.
Physician's Profile
Full Name | Dr Jack J Sobrin |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1539 Main St Unit D, Pleasant Valley, 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: 1588662241
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991784043
- Enrollment ID: I20100308000418
Medical Identifiers
Medical identifiers for Dr Jack J Sobrin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588662241 | NPI | - | NPPES |
01832177 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 205611 (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 Jack J Sobrin allows following entities to bill medicare on his behalf.
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
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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 Jack J Sobrin 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 Jack J Sobrin, DO Po Box 307, Hopewell Junction, NY 12533-0307 Ph: (845) 723-4499 | Dr Jack J Sobrin, DO 1539 Main St Unit D, Pleasant Valley, NY 12569-7834 Ph: (845) 723-4499 |
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