Parker Robert Bachisin, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Coram, New York. His current practice location is
607 Middle Country Rd, Coram, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 732-3900.
Parker Robert Bachisin is licensed to practice in New York (license number 0818709) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063261329.
Physician's Profile
| Full Name | Parker Robert Bachisin |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 607 Middle Country Rd, Coram, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063261329
- Provider Enumeration Date: 05/17/2024
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062953284
- Enrollment ID: I20240916001131
Medical Identifiers
Medical identifiers for Parker Robert Bachisin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063261329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 0818709 (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. Parker Robert Bachisin allows following entities to bill medicare on his behalf.
| Entity Name | Island Sports Physical Therapy Of Coram Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083681613
PECOS PAC ID: 6406747526
Enrollment ID: O20040320000093 |
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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. Parker Robert Bachisin 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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Parker Robert Bachisin,
14 Manorage Rd,
Manorville, NY 11949-3318
Ph: (631) 508-6866 | Parker Robert Bachisin,
607 Middle Country Rd,
Coram, NY 11727-3362
Ph: (631) 732-3900 |
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