Mr Alain Berthold, MD - Medicare Hospitalist in Oceanside, NY

Mr Alain Berthold, MD is a medicare enrolled "Hospitalist" physician in Oceanside, New York. He went to State University Of New York Downstate Medical Center and graduated in 2008 and has 16 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Southwest Suffolk Medical Pc and his current practice location is 1 Healthy Way, Oceanside, New York. You can reach out to his office (for appointments etc.) via phone at (516) 632-3000.

Mr Alain Berthold is licensed to practice in New York (license number 256542) 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 1538320403.

Contact Information

Mr Alain Berthold, MD
1 Healthy Way,
Oceanside, NY 11572-1551
(516) 632-3000
Not Available

Map and Direction




Physician's Profile

Full NameMr Alain Berthold
GenderMale
SpecialityHospitalist
Experience16 Years
Location1 Healthy Way, Oceanside, 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:
  • Mr Alain Berthold attended and graduated from State University Of New York Downstate Medical Center in 2008
  NPI Data:
  • NPI Number: 1538320403
  • Provider Enumeration Date: 06/23/2008
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315119773
  • Enrollment ID: I20111006000289

Medical Identifiers

Medical identifiers for Mr Alain Berthold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538320403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 256542 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRockville centre, NYHospital

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. Mr Alain Berthold allows following entities to bill medicare on his behalf.
Entity NameSouthwest Suffolk Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104096049
PECOS PAC ID: 0244396349
Enrollment ID: O20090225000297
Entity NameMount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508127531
PECOS PAC ID: 6406096544
Enrollment ID: O20130712000368

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. Mr Alain Berthold 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
Mr Alain Berthold, MD
1 Healthy Way,
Oceanside, NY 11572-1551

Ph: (516) 632-3000
Mr Alain Berthold, MD
1 Healthy Way,
Oceanside, NY 11572-1551

Ph: (516) 632-3000

Reviews and Comments


Hospitalist Doctors in Oceanside, NY

Dr. Benjamin Wallbrunn Felder, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1 Healthy Way, Oceanside, NY 11572
Phone: 516-632-3666    
Dr. David Elliot Bernstein, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1 Healthy Way, Oceanside, NY 11572
Phone: 516-362-3000    
Dr. Gary Ka-lai Wong, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: One Healthy Way, Oceanside, NY 11572
Phone: 516-632-3000    
Dr. Jeremy Ethan Lawrence, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Healthy Way, Oceanside, NY 11572
Phone: 516-632-3666    
Dr. Farah Karim Gazi, DO
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Healthy Way, Oceanside, NY 11572
Phone: 516-632-3797    
Dr. Dmitry Konsky, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Healthy Way, Oceanside, NY 11572
Phone: 516-632-3666    

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.