Mickel L Khlat, DO - Medicare Geriatric Medicine in Lake Ronkonkoma, NY

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Mickel L Khlat, DO is a medicare enrolled "Internal Medicine" physician in Lake Ronkonkoma, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2000 and has 24 years of diverse experience with area of expertise as Geriatric Medicine. He is a member of the group practice Southwest Suffolk Medical Pc 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.

Mickel L Khlat is licensed to practice in New York (license number 228341) 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 1548288954.

Contact Information

Mickel L Khlat, DO
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324
(631) 737-0100
(631) 417-1117

Map and Direction




Physician's Profile

Full NameMickel L Khlat
GenderMale
SpecialityGeriatric Medicine
Experience24 Years
Location640 Hawkins Ave, Lake Ronkonkoma, 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:
  • Mickel L Khlat attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2000
  NPI Data:
  • NPI Number: 1548288954
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 09/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2860421591
  • Enrollment ID: I20050811001023

Medical Identifiers

Medical identifiers for Mickel L Khlat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548288954NPI-NPPES
02666562MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 228341 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Suffolk Medical Pc0244396349143

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. Mickel L Khlat allows following entities to bill medicare on his behalf.
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766
Entity NameSt Catherine Of Siena Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154764819
PECOS PAC ID: 0941267876
Enrollment ID: O20041213000681
Entity NameSouthwest Suffolk Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104096049
PECOS PAC ID: 0244396349
Enrollment ID: O20090225000297

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. Mickel L Khlat 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
Mickel L Khlat, DO
1000 Zeckendorf Blvd,
Garden City, NY 11530-2133

Ph: (516) 542-6880		Mickel L Khlat, DO
640 Hawkins Ave,
Lake Ronkonkoma, NY 11779-2324

Ph: (631) 737-0100

Reviews and Comments


Internal Medicine Doctors in Lake Ronkonkoma, NY

Tara K Singh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-471-1117
Michael Lee, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-417-1117
Ms. Diana Kaplinsky, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-471-1117
Marie T Pottanat, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-417-1117
Herold Joseph,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 Lake Shore Rd, Lake Ronkonkoma, NY 11779
Phone: 631-585-8800    
Joseph M Chandrankunnel, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779
Phone: 631-737-0100    Fax: 631-417-1117

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.