Dr Keith Melvin Staiman, MD is a medicare enrolled "Pediatrics" physician in East Rockaway, New York. His current practice location is
58 Main St, East Rockaway, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 599-7325.
Dr Keith Melvin Staiman is licensed to practice in New York (license number 134528) 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 1982733879.
Physician's Profile
Full Name | Dr Keith Melvin Staiman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 58 Main St, East Rockaway, 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: 1982733879
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143443069
- Enrollment ID: I20210406002230
Medical Identifiers
Medical identifiers for Dr Keith Melvin Staiman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982733879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 134528 (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 Keith Melvin Staiman allows following entities to bill medicare on his behalf.
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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 Keith Melvin Staiman 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 Keith Melvin Staiman, MD 6 Chestney Rd, Lawrence, NY 11559-2510 Ph: (516) 295-4608 | Dr Keith Melvin Staiman, MD 58 Main St, East Rockaway, NY 11518-1929 Ph: (516) 599-7325 |
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