Dr Mary Ellen Renna, MD in Woodbury, NY

Dr Mary Ellen Renna, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Woodbury, New York. Her current practice location is 40 Crossways Park Dr, Woodbury, New York. You can reach out to her office (for appointments etc.) via phone at (516) 677-9628.

Dr Mary Ellen Renna is licensed to practice in New York (license number 171285) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336111780.

Contact Information

	Dr Mary Ellen Renna, MD
	40 Crossways Park Dr, Woodbury, NY 11797-2036
	(516) 677-9628
	(516) 677-9623

Map and Direction

Physician's Profile

Full Name	Dr Mary Ellen Renna
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	40 Crossways Park Dr, Woodbury, 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: 1336111780
Provider Enumeration Date: 02/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002282308
Enrollment ID: I20221011002151

Medical Identifiers

Medical identifiers for Dr Mary Ellen Renna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336111780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	171285 (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 Mary Ellen Renna allows following entities to bill medicare on her behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

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 Mary Ellen Renna 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 Mary Ellen Renna, MD 40 Crossways Park Dr, Woodbury, NY 11797-2036 Ph: (516) 677-9628	Dr Mary Ellen Renna, MD 40 Crossways Park Dr, Woodbury, NY 11797-2036 Ph: (516) 677-9628

Reviews and Comments

Pediatrics Doctors in Woodbury, NY

Danielle M Magrini, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 45 Crossways Park Dr W, Woodbury, NY 11797 Phone: 516-536-2800
Dr. Michael W Elice, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 80 Crossways Park Dr, Suite 200, Woodbury, NY 11797 Phone: 516-802-5028 Fax: 516-802-5027
Dr. Russell J. Schiff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 43 Crossways Park Drive West, Woodbury, NY 11797 Phone: 516-992-5205 Fax: 516-992-5206
Dr. Stacey Shapiro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Crossways Park Dr, Woodbury, NY 11797 Phone: 516-677-9658 Fax: 516-677-9623
Irfan Amin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 Woodbury Farms, Woodbury, NY 11797 Phone: 718-768-8400 Fax: 718-369-7089
Dr. Jonathan Davis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Crossways Park Dr, Woodbury, NY 11797 Phone: 516-677-9658 Fax: 516-677-9623

Dr Mary Ellen Renna, MD - Medicare Pediatrics in Woodbury, NY