Dr Ronald S Englert, DO - Medicare Family Practice in New York, NY

Dr Ronald S Englert, DO is a medicare enrolled "Family Medicine" physician in New York, New York. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mount Sinai School Of Medicine and his current practice location is 489 5th Ave, 3rd Floor, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 530-2288.

Dr Ronald S Englert is licensed to practice in New Jersey (license number 25MB11014100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053376533.

Contact Information

Dr Ronald S Englert, DO
489 5th Ave, 3rd Floor,
New York, NY 10017-6109
(212) 530-2288
(212) 867-4353

Map and Direction




Physician's Profile

Full NameDr Ronald S Englert
GenderMale
SpecialityFamily Practice
Experience26 Years
Location489 5th Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ronald S Englert graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1053376533
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 10/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335205277
  • Enrollment ID: I20090302000536

Medical Identifiers

Medical identifiers for Dr Ronald S Englert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053376533NPI-NPPES
79785522MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 248793 (New York)Secondary
207Q00000XFamily Medicine 40484 (Colorado)Secondary
207Q00000XFamily Medicine 253612 (Massachusetts)Secondary
207Q00000XFamily Medicine 25MB11014100 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount Sinai School Of Medicine0648408575127

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 Ronald S Englert allows following entities to bill medicare on his behalf.
Entity NameMount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528538774
PECOS PAC ID: 0648408575
Enrollment ID: O20140122000814

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 Ronald S Englert 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 AddressPractice Location Address
Dr Ronald S Englert, DO
331 Newman Springs Rd Ste 220,
Red Bank, NJ 07701-5792

Ph: (732) 807-0877
Dr Ronald S Englert, DO
489 5th Ave, 3rd Floor,
New York, NY 10017-6109

Ph: (212) 530-2288

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.