Dr Mark Aaron Jacknin, DO in New York, NY

Dr Mark Aaron Jacknin, DO is a medicare enrolled "Family Medicine" physician in New York, New York. His current practice location is 4405 Broadway, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 740-2020.

Dr Mark Aaron Jacknin is licensed to practice in New York (license number 230171) 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 1033179338.

Contact Information

	Dr Mark Aaron Jacknin, DO
	4405 Broadway, New York, NY 10040-4014
	(212) 740-2020
	(646) 666-0280

Map and Direction

Physician's Profile

Full Name	Dr Mark Aaron Jacknin
Gender	Male
Speciality	Family Medicine
Location	4405 Broadway, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033179338
Provider Enumeration Date: 03/23/2006
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3274551023
Enrollment ID: I20051109001167

Medical Identifiers

Medical identifiers for Dr Mark Aaron Jacknin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033179338	NPI	-	NPPES
02716663	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	230171 (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 Mark Aaron Jacknin allows following entities to bill medicare on his behalf.

Entity Name	Griffin Myers Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780209445 PECOS PAC ID: 5294145017 Enrollment ID: O20201106001359

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 Mark Aaron Jacknin 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 Mark Aaron Jacknin, DO Po Box 746087, Atlanta, GA 30374-6087 Ph: (312) 733-9730	Dr Mark Aaron Jacknin, DO 4405 Broadway, New York, NY 10040-4014 Ph: (212) 740-2020

Reviews and Comments

Family Medicine Doctors in New York, NY

Syra Hanif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 492 6th Ave, New York, NY 10011 Phone: 646-454-9000 Fax: 646-454-9047
Tahsin Kabir, Family Medicine Medicare: Medicare Enrolled Practice Location: 317 E 34th St, New York, NY 10016 Phone: 212-726-7400
Dr. Daria Ravangard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 52 W 8th St, New York, NY 10011 Phone: 212-466-4848 Fax: 212-466-4855
Dr. Sapna Chaudhary, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 245 5th Ave, 2nd Floor, New York, NY 10016 Phone: 646-935-2265 Fax: 646-935-2272
Vikrant Khanderia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 W 71st St, New York, NY 10023 Phone: 212-496-4600 Fax: 917-441-0195
Massiel Esther Crespo Fleury, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 160 W 26th St, New York, NY 10001 Phone: 212-924-2510
Sarah Phillips Saltzman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 230 W 17th St, New York, NY 10011 Phone: 212-206-5200

Dr Mark Aaron Jacknin, DO - Medicare Family Medicine in New York, NY