Dr Marc Anthony Disciullo, MD is a medicare enrolled "Anesthesiology" physician in Muttontown, New York. His current practice location is
489 Remsens Ln, Muttontown, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 624-0872.
Dr Marc Anthony Disciullo is licensed to practice in New York (license number 189612) 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 1366471708.
Physician's Profile
| Full Name | Dr Marc Anthony Disciullo |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 489 Remsens Ln, Muttontown, 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: 1366471708
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385538800
- Enrollment ID: I20110310000900
Medical Identifiers
Medical identifiers for Dr Marc Anthony Disciullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366471708 | NPI | - | NPPES |
| 1443530 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 189612 (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 Marc Anthony Disciullo allows following entities to bill medicare on his behalf.
| Entity Name | Northern Valley Anesthesiology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245289487
PECOS PAC ID: 0749194868
Enrollment ID: O20151023001503 |
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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 Marc Anthony Disciullo 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 |
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Dr Marc Anthony Disciullo, MD
489 Remsens Ln,
Muttontown, NY 11771-4501
Ph: (516) 624-0872 | Dr Marc Anthony Disciullo, MD
489 Remsens Ln,
Muttontown, NY 11771-4501
Ph: (516) 624-0872 |
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