Dr John Depetrillo Jr, MD - Medicare Internal Medicine in Forest Hills, NY

Dr John Depetrillo Jr, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Forest Hills, New York. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Critical Care Medical Management Associates Pllc, Copiah County Medical Center and his current practice location is 10201 66th Rd, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 830-4359.

Dr John Depetrillo Jr is licensed to practice in New York (license number 250815) 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 1013127562.

Contact Information

Dr John Depetrillo Jr, MD
10201 66th Rd,
Forest Hills, NY 11375-2029
(718) 830-4359
(718) 830-1015

Map and Direction




Physician's Profile

Full NameDr John Depetrillo Jr
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location10201 66th Rd, Forest Hills, 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 John Depetrillo Jr graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1013127562
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7618146283
  • Enrollment ID: I20110816000776

Medical Identifiers

Medical identifiers for Dr John Depetrillo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013127562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 250815-1 (New York)Secondary
207RI0200XInternal Medicine - Infectious Disease 250815-1 (New York)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 250815 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps Memorial Hospital CenterSleepy hollow, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Critical Care Medical Management Associates Pllc488084452120
Copiah County Medical Center206258348719

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 John Depetrillo Jr 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 NameCritical Care Medical Management Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194090878
PECOS PAC ID: 4880844521
Enrollment ID: O20121016000010
Entity NameRpmma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104431378
PECOS PAC ID: 3678983194
Enrollment ID: O20210111002247

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 John Depetrillo Jr 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 John Depetrillo Jr, MD
2249 35th St, Apt 1,
Astoria, NY 11105-2206

Ph: (516) 509-6501
Dr John Depetrillo Jr, MD
10201 66th Rd,
Forest Hills, NY 11375-2029

Ph: (718) 830-4359

Reviews and Comments


Internal Medicine Doctors in Forest Hills, NY

Ayesha Asgher Ranjah,
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375
Phone: 718-263-4600    
Dr. Savi Mushiyev, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10250 62nd Rd Apt 3g, Forest Hills, NY 11375
Phone: 917-685-0804    
Sangam B Jhaveri, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102-01 66th Road, Forest Hills, NY 11375
Phone: 718-806-1434    Fax: 718-806-1435
Bella Sandler, MD
Critical Care Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 104-20 Queens Blvd, Suite 1w, Forest Hills, NY 11375
Phone: 718-719-2071    Fax: 718-719-2075
Dr. Daniel Horacio Wasserman,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11203 Queens Blvd, Suite 207, Forest Hills, NY 11375
Phone: 718-544-7077    Fax: 718-261-4476
Dr. Ida Messana, M.D. , F.A.C.P.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109-33 71 Road, Suite 2e, Forest Hills, NY 11375
Phone: 718-263-4345    Fax: 718-793-5607

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.