Lyonel De Sagun, - Medicare Physical Therapist in Lake Success, NY

Lyonel De Sagun, is a medicare enrolled "Physical Therapist" provider in Lake Success, New York. His current practice location is 1979 Marcus Ave, Suite 204, Lake Success, New York. You can reach out to his office (for appointments etc.) via phone at (516) 327-4681.

Lyonel De Sagun is licensed to practice in New York (license number 019091) 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 1275576787.

Contact Information

Lyonel De Sagun,
1979 Marcus Ave, Suite 204,
Lake Success, NY 11042-1002
(516) 327-4681
Not Available



Healthcare Provider's Profile

Full NameLyonel De Sagun
GenderMale
SpecialityPhysical Therapist
Location1979 Marcus Ave, Lake Success, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275576787
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214949643
  • Enrollment ID: I20060628000333

Medical Identifiers

Medical identifiers for Lyonel De Sagun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275576787NPI-NPPES
019091OtherNYPT LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 019091 (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. Lyonel De Sagun allows following entities to bill medicare on his behalf.
Provider NameEpic Long Island
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174563936
PECOS PAC ID: 7315835907
Enrollment ID: O20040305000757

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Provider NameLifespire, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497709166
PECOS PAC ID: 5496644015
Enrollment ID: O20040312000104

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Provider NameEpic Medical Services Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134589609
PECOS PAC ID: 8628365582
Enrollment ID: O20160921001908

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› Verified 1 days ago

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. Lyonel De Sagun 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
Lyonel De Sagun,
10 E 16th St,
Huntington Station, NY 11746-2911

Ph: (631) 816-9696
Lyonel De Sagun,
1979 Marcus Ave, Suite 204,
Lake Success, NY 11042-1002

Ph: (516) 327-4681

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› Verified 1 days ago


Physical Therapist in Lake Success, NY

Joan B Monaghan, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2800 Marcus Avenue, Suite 101, Lake Success, NY 11040
Phone: 516-622-6161    Fax: 516-622-6171
Agewell Diagnostics, Inc.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1999 Marcus Avenue, Suite M15, Lake Success, NY 11042
Phone: 516-488-8808    Fax: 516-488-8808
Maricel De Vera,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042
Phone: 516-327-4681    
Mark Alan Herbrich, P.T., M.A.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042
Phone: 516-488-8808    Fax: 516-488-8818
John J Dragan, P.T., GCS
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042
Phone: 516-488-8808    Fax: 516-488-8818
Miss Maria C R Baltasar, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042
Phone: 516-327-4681    

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