John Impellizeri, DO is a medicare enrolled "Internal Medicine" physician in Mattituck, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
13400 Main Rd, Mattituck, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 298-4008.
John Impellizeri is licensed to practice in New York (license number 224524) 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 1669466363.
Physician's Profile
| Full Name | John Impellizeri |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 13400 Main Rd, Mattituck, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Impellizeri attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1999
NPI Data:
- NPI Number: 1669466363
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 11/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769387398
- Enrollment ID: I20091204000276
Medical Identifiers
Medical identifiers for John Impellizeri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669466363 | NPI | - | NPPES |
| 02444824 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 224524 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. John Impellizeri allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. John Impellizeri 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 |
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John Impellizeri, DO
13400 Main Rd, Po Box 1619,
Mattituck, NY 11952-3209
Ph: (631) 298-4479 | John Impellizeri, DO
13400 Main Rd,
Mattituck, NY 11952-3209
Ph: (631) 298-4008 |
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