Arjun Balakumar, MD - Medicare Emergency Medicine in Stony Brook, NY

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Arjun Balakumar, MD is a medicare enrolled "Emergency Medicine" physician in Stony Brook, New York. His current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-3880.

Arjun Balakumar is licensed to practice in Guam (license number M-2368) 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 1619504115.

Contact Information

Arjun Balakumar, MD
101 Nicolls Rd,
Stony Brook, NY 11794-0001
(631) 444-3880
Not Available

Map and Direction




Physician's Profile

Full NameArjun Balakumar
GenderMale
SpecialityEmergency Medicine
Location101 Nicolls Rd, Stony Brook, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619504115
  • Provider Enumeration Date: 03/25/2020
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294180105
  • Enrollment ID: I20231012003226

Medical Identifiers

Medical identifiers for Arjun Balakumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619504115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1018138 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine M-2368 (Guam)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. Arjun Balakumar allows following entities to bill medicare on his behalf.
Entity NameGuam Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366519027
PECOS PAC ID: 5890781694
Enrollment ID: O20040426000038
Entity NameGuam Healthcare Development Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326447939
PECOS PAC ID: 9234351776
Enrollment ID: O20150326000266

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. Arjun Balakumar 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
Arjun Balakumar, MD
101 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: () -		Arjun Balakumar, MD
101 Nicolls Rd,
Stony Brook, NY 11794-0001

Ph: (631) 444-3880

Reviews and Comments


Emergency Medicine Doctors in Stony Brook, NY

Dr. Lauren Marie Maloney, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Department Of Emergency Medicine, Hsc Level 4 Room 080, Stony Brook, NY 11794
Phone: 631-444-3880    
Dr. Christopher Carleo, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: University Hospital, L4, Stony Brook, NY 11794
Phone: 631-444-2499    
Dr. Dieu-huong Thi Ho, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Stony Brook Medicine Department Of Emergency, Hsc Level 4 Room 080, Stony Brook, NY 11794
Phone: 631-444-3880    Fax: 631-444-3919
Dr. Simran Buttar, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-2499    
Dr. Andrea Libutti, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: University Hospital, L4, Stony Brook, NY 11794
Phone: 631-444-2499    
Dr. Lawrence William Kelly Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Stony Brook University Hospital, Department Of Emergency Medicine, Hsc, L-4, Room 080, Stony Brook, NY 11794
Phone: 631-444-3880    Fax: 631-444-6031
Dr. Frederick Schiavone, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: University Hospital, L4, Stony Brook, NY 11794
Phone: 631-444-2499    

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.

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