Dr Marty Ellington Jr, MD MPH in New York, NY

Dr Marty Ellington Jr, MD MPH is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in New York, New York. His current practice location is 100 E 77th St, Department Of Pediatrics, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 434-3351.

Dr Marty Ellington Jr is licensed to practice in New York (license number 214363) 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 1942367214.

Contact Information

	Dr Marty Ellington Jr, MD MPH
	100 E 77th St, Department Of Pediatrics, New York, NY 10021-1850
	(212) 434-3351
	(212) 434-3374

Map and Direction

Physician's Profile

Full Name	Dr Marty Ellington Jr
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	100 E 77th St, 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: 1942367214
Provider Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092980581
Enrollment ID: I20111212000727

Medical Identifiers

Medical identifiers for Dr Marty Ellington Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942367214	NPI	-	NPPES
01977733	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	214363 (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 Marty Ellington Jr allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Marty Ellington 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 Address	Practice Location Address
Dr Marty Ellington Jr, MD MPH 110 W 118th St, New York, NY 10026-1809 Ph: (212) 932-1011	Dr Marty Ellington Jr, MD MPH 100 E 77th St, Department Of Pediatrics, New York, NY 10021-1850 Ph: (212) 434-3351

Reviews and Comments

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Dr Marty Ellington Jr, MD MPH - Medicare Pediatrics in New York, NY