Dr Peter Vaccaro, MD is a medicare enrolled "Pediatrics" physician in Bridgehampton, New York. His current practice location is
2510 Montauk Highway, Bridgehampton, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 386-3600.
Dr Peter Vaccaro is licensed to practice in New York (license number 150913) 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 1740304211.
Physician's Profile
Full Name | Dr Peter Vaccaro |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 2510 Montauk Highway, Bridgehampton, 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: 1740304211
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921365412
- Enrollment ID: I20171208002541
Medical Identifiers
Medical identifiers for Dr Peter Vaccaro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740304211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 150913 (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 Peter Vaccaro allows following entities to bill medicare on his behalf.
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
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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 Peter Vaccaro 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 Peter Vaccaro, MD Bank Of America File Number 54701, Los Angeles, CA 90074-4701 Ph: (909) 651-4300 | Dr Peter Vaccaro, MD 2510 Montauk Highway, Bridgehampton, NY 11932 Ph: (631) 386-3600 |
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