Mark A Halsey, MD is a medicare enrolled "Dermatology" physician in Sag Harbor, New York. He went to University Of South Florida College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Sagaponack Medical Pc and his current practice location is
3350 Noyac Rd, Sag Harbor, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 731-1099.
Mark A Halsey is licensed to practice in New York (license number 282033) 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 1790070480.
Physician's Profile
| Full Name | Mark A Halsey |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 3350 Noyac Rd, Sag Harbor, 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:
- Mark A Halsey attended and graduated from University Of South Florida College Of Medicine in 2011
NPI Data:
- NPI Number: 1790070480
- Provider Enumeration Date: 06/10/2011
- Last Update Date: 08/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002075165
- Enrollment ID: I20160803000235
Medical Identifiers
Medical identifiers for Mark A Halsey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790070480 | NPI | - | NPPES |
| 05078079 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NP0225X | Dermatology - Pediatric Dermatology | 282033 (New York) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 282033 (New York) | Secondary |
| 207N00000X | Dermatology | 282033 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sagaponack Medical Pc | 2567727563 | 2 |
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. Mark A Halsey allows following entities to bill medicare on his behalf.
| Entity Name | Sagaponack Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407351646
PECOS PAC ID: 2567727563
Enrollment ID: O20180522001369 |
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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. Mark A Halsey 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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Mark A Halsey, MD
3350 Noyac Rd,
Sag Harbor, NY 11963-1908
Ph: (631) 731-1099 | Mark A Halsey, MD
3350 Noyac Rd,
Sag Harbor, NY 11963-1908
Ph: (631) 731-1099 |
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