Adalbert Pilip, MD - Medicare Internal Medicine in Smithtown, NY

Adalbert Pilip, MD is a medicare enrolled "Internal Medicine" physician in Smithtown, New York. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ap New York Comprehensive Medical Care Pc and his current practice location is 732 Smithtown Byp, Suite 200, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at (631) 318-3254.

Adalbert Pilip is licensed to practice in North Carolina (license number 2008-01216) 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 1548424039.

Contact Information

Adalbert Pilip, MD
732 Smithtown Byp, Suite 200,
Smithtown, NY 11787-5020
(631) 318-3254
Not Available

Map and Direction




Physician's Profile

Full NameAdalbert Pilip
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location732 Smithtown Byp, Smithtown, 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:
  • Adalbert Pilip graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1548424039
  • Provider Enumeration Date: 07/14/2008
  • Last Update Date: 01/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4486715661
  • Enrollment ID: I20081205000582

Medical Identifiers

Medical identifiers for Adalbert Pilip such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548424039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2008-01216 (North Carolina)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 2008-01216 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tender Loving Care, An Amedisys CompanyMedford, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ap New York Comprehensive Medical Care Pc59910860682

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. Adalbert Pilip allows following entities to bill medicare on his behalf.
Entity NameAp New York Comprehensive Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992249346
PECOS PAC ID: 5991086068
Enrollment ID: O20170103001701

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. Adalbert Pilip 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
Adalbert Pilip, MD
45 Research Way Suite 204, Stony Brook Administrative Services,
East Setauket, NY 11733

Ph: (631) 656-9040
Adalbert Pilip, MD
732 Smithtown Byp, Suite 200,
Smithtown, NY 11787-5020

Ph: (631) 318-3254

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).

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.