Louis K Sussman, MD - Medicare Pathology in Flushing, NY

Louis K Sussman, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Flushing, New York. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Kings Physician Services Pc, New York Queens Medicine And Surgery, P.c., Optum Medical Care Pc, Pathlink Of New Jersey and his current practice location is 5645 Main St, New York Hospital Medical Center Of Queens, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 670-1374.

Louis K Sussman is licensed to practice in New York (license number 226950) 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 1497796262.

Contact Information

Louis K Sussman, MD
5645 Main St, New York Hospital Medical Center Of Queens,
Flushing, NY 11355-5045
(718) 670-1374
(718) 661-7745

Map and Direction




Physician's Profile

Full NameLouis K Sussman
GenderMale
SpecialityPathology
Experience26 Years
Location5645 Main St, Flushing, 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:
  • Louis K Sussman graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1497796262
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668430877
  • Enrollment ID: I20041220000952

Medical Identifiers

Medical identifiers for Louis K Sussman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497796262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA09549700 (New Jersey)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 226950 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York-presbyterian/queensFlushing, NYHospital
Hackensackumc MountainsideMontclair, NJHospital
St Mary's General HospitalPassaic, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kings Physician Services Pc0547579427488
New York Queens Medicine And Surgery, P.c.4082883673367
Optum Medical Care Pc9931013240961
Pathlink Of New Jersey044664124517

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. Louis K Sussman allows following entities to bill medicare on his behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameLk Better Health Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902999428
PECOS PAC ID: 1254410459
Enrollment ID: O20080429000673
Entity NameNew York Queens Medicine And Surgery, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003114851
PECOS PAC ID: 4082883673
Enrollment ID: O20110817000163
Entity NameKings Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083045090
PECOS PAC ID: 0547579427
Enrollment ID: O20151015000175

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. Louis K Sussman 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
Louis K Sussman, MD
5645 Main St, New York Hospital Medical Center Of Queens,
Flushing, NY 11355-5045

Ph: (718) 670-1374
Louis K Sussman, MD
5645 Main St, New York Hospital Medical Center Of Queens,
Flushing, NY 11355-5045

Ph: (718) 670-1374

Reviews and Comments


Pathology Doctors in Flushing, NY

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Aam Abdullahel Baqui, MD, PHD
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Phone: 718-670-1341    Fax: 516-437-4167

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).

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