Michael Gladstein, MD is a medicare enrolled "Dermatology" physician in Lake Ronkonkoma, New York. He went to New York University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice J I Medical Pc, A Merryland Operating Llc and his current practice location is
640 Hawkins Ave, Lake Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 737-0100.
Michael Gladstein is licensed to practice in New York (license number 143678) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104848811.
Physician's Profile
| Full Name | Michael Gladstein |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 45 Years |
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| Location | 640 Hawkins Ave, Lake Ronkonkoma, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Gladstein attended and graduated from New York University School Of Medicine in 1979
NPI Data:
- NPI Number: 1104848811
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 06/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486637022
- Enrollment ID: I20040612000370
Medical Identifiers
Medical identifiers for Michael Gladstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104848811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 143678 (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. Michael Gladstein allows following entities to bill medicare on his behalf.
| Entity Name | Be Well Primary Health Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083623409
PECOS PAC ID: 2062305030
Enrollment ID: O20040204000235 |
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| Entity Name | A Merryland Operating Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972848307
PECOS PAC ID: 5890929210
Enrollment ID: O20131017001230 |
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| Entity Name | J I Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366035248
PECOS PAC ID: 0749680395
Enrollment ID: O20210618000064 |
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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. Michael Gladstein 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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Michael Gladstein, MD
1000 Zeckendorf Blvd,
Garden City, NY 11530-2133
Ph: (516) 542-6880 | Michael Gladstein, MD
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324
Ph: (631) 737-0100 |
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