Dr Claudio Martincic, DO - Medicare Nephrology in Stony Brook, NY

Dr Claudio Martincic, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Stony Brook, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1994 and has 30 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice North Shore Hematology Oncology Associates Pc and his current practice location is 2500 Nesconset Hwy Bldg 14a, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 751-3000.

Dr Claudio Martincic is licensed to practice in New York (license number 202633) 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 1710998182.

Contact Information

Dr Claudio Martincic, DO
2500 Nesconset Hwy Bldg 14a,
Stony Brook, NY 11790-2554
(631) 751-3000
(631) 509-6559

Map and Direction




Physician's Profile

Full NameDr Claudio Martincic
GenderMale
SpecialityNephrology
Experience30 Years
Location2500 Nesconset Hwy Bldg 14a, Stony Brook, 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:
  • Dr Claudio Martincic attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1994
  NPI Data:
  • NPI Number: 1710998182
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 01/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345243085
  • Enrollment ID: I20060817000476

Medical Identifiers

Medical identifiers for Dr Claudio Martincic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710998182NPI-NPPES
02157275MedicaidNY
753AQ1OtherNYBCBS
753AQ2OtherNYBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 202633 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huntington Akc- Medford Ext.Medford, NYDialysis facility
Suny/stony Brook University HospitalStony brook, NYHospital
St Catherine Of Siena HospitalSmithtown, NYHospital
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore Hematology Oncology Associates Pc1456243641344

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 Claudio Martincic allows following entities to bill medicare on his behalf.
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766

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 Claudio Martincic 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 Claudio Martincic, DO
1500 Route 112 Bldg 4,
Port Jefferson Station, NY 11776-8055

Ph: (631) 751-3000
Dr Claudio Martincic, DO
2500 Nesconset Hwy Bldg 14a,
Stony Brook, NY 11790-2554

Ph: (631) 751-3000

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.