Dr Russell James Pepe, MD is a medicare enrolled "General Practice" physician in New Hyde Park, New York. His current practice location is
27005 76th Ave, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 470-4475.
Dr Russell James Pepe is licensed to practice in New York (license number 324291) 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 1043849706.
Physician's Profile
| Full Name | Dr Russell James Pepe |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 27005 76th Ave, New Hyde Park, 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. |
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NPI Data:
- NPI Number: 1043849706
- Provider Enumeration Date: 04/05/2020
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335503010
- Enrollment ID: I20230913003520
Medical Identifiers
Medical identifiers for Dr Russell James Pepe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043849706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 324291 (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 Russell James Pepe allows following entities to bill medicare on his behalf.
| Entity Name | Essen Medical Urgicare, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903 |
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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 Russell James Pepe 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 Russell James Pepe, MD
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: (718) 470-4475 | Dr Russell James Pepe, MD
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: (718) 470-4475 |
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