Dr Carl Philip Kaplan, MD - Medicare Pediatrics in Stony Brook, NY

Dr Carl Philip Kaplan, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Stony Brook, New York. His current practice location is Dept Of Pediatrics Stony Brook University, Hsc T-11, Room 020, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-8014.

Dr Carl Philip Kaplan is licensed to practice in New York (license number 227696) 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 1962515825.

Contact Information

Dr Carl Philip Kaplan, MD
Dept Of Pediatrics Stony Brook University, Hsc T-11, Room 020,
Stony Brook, NY 11794-8111
(631) 444-8014
(631) 444-7865

Map and Direction




Physician's Profile

Full NameDr Carl Philip Kaplan
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
LocationDept Of Pediatrics Stony Brook University, 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: 1962515825
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 04/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3971531591
  • Enrollment ID: I20050803000666

Medical Identifiers

Medical identifiers for Dr Carl Philip Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962515825NPI-NPPES
02663445MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 227696 (New York)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 227696 (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. Dr Carl Philip Kaplan allows following entities to bill medicare on his behalf.
Entity NameStony Brook Children's Service, University Faculty Practice Corporatio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083660575
PECOS PAC ID: 8921993551
Enrollment ID: O20040220000822

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. Dr Carl Philip Kaplan 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
Dr Carl Philip Kaplan, MD
Po Box 1559,
Stony Brook, NY 11790-0989

Ph: (631) 444-0650
Dr Carl Philip Kaplan, MD
Dept Of Pediatrics Stony Brook University, Hsc T-11, Room 020,
Stony Brook, NY 11794-8111

Ph: (631) 444-8014

Reviews and Comments


Pediatrics Doctors in Stony Brook, NY

Dr. Mireya Garcia, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: University Hospital, L5, Stony Brook, NY 11794
Phone: 631-444-3429    
Dr. Jason Halegoua, PHD, MD, MBA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 207 Hallock Rd Ste 106, Stony Brook, NY 11790
Phone: 631-675-9777    Fax: 631-675-9778
Dr. Christy Anne Beneri, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: Hsc Suny Stony Brook, Department Of Pediatrics Hsc T-11, Stony Brook, NY 11794
Phone: 631-444-7992    Fax: 631-444-7292
Brittani Elisse Campelo, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 101 Nicolls Rd Rm 40, Stony Brook, NY 11794
Phone: 631-444-2020    Fax: 631-444-2894
Pianpian Wu, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-5437    
Brittani Rose Mannix, NNP-BC
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-444-2000    
Kathleen Doobinin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Department Of Pediatrics, Hsc T-11-020, Stony Brook, NY 11794
Phone: 631-444-2710    

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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