Monica L Halem, MD - Medicare Dermatology in New York, NY

Monica L Halem, MD is a medicare enrolled "Dermatology" physician in New York, New York. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Monica Halem Md Pc and her current practice location is 988 5th Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 988-2400.

Monica L Halem is licensed to practice in New York (license number 249120) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891996302.

Contact Information

Monica L Halem, MD
988 5th Ave,
New York, NY 10075-0187
(212) 988-2400
Not Available

Map and Direction




Physician's Profile

Full NameMonica L Halem
GenderFemale
SpecialityDermatology
Experience27 Years
Location988 5th Ave, New York, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Monica L Halem attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1891996302
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 12/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1951491869
  • Enrollment ID: I20080917000345

Medical Identifiers

Medical identifiers for Monica L Halem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891996302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 249120 (New York)Primary
207N00000XDermatology ME98380 (Florida)Secondary

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. Monica L Halem allows following entities to bill medicare on her behalf.
Entity NameMonica Halem Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740555309
PECOS PAC ID: 8527220649
Enrollment ID: O20120507000064
Entity NameHalem Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689334534
PECOS PAC ID: 1153715602
Enrollment ID: O20220225000848

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. Monica L Halem 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
Monica L Halem, MD
988 5th Ave,
New York, NY 10075-0187

Ph: (212) 988-2400
Monica L Halem, MD
988 5th Ave,
New York, NY 10075-0187

Ph: (212) 988-2400

Reviews and Comments


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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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