Dr Goustina Adly, DO - Medicare Internal Medicine in Middletown, NY

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Dr Goustina Adly, DO is a medicare enrolled "Hospitalist" physician in Middletown, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Good Samaritan Hospital Medical Center and her current practice location is 155 Crystal Run Rd, Middletown, New York. You can reach out to her office (for appointments etc.) via phone at (845) 703-6999.

Dr Goustina Adly is licensed to practice in New York (license number 298182) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689051054.

Contact Information

Dr Goustina Adly, DO
155 Crystal Run Rd,
Middletown, NY 10941-4057
(845) 703-6999
(845) 703-6297

Map and Direction




Physician's Profile

Full NameDr Goustina Adly
GenderFemale
SpecialityInternal Medicine
Experience9 Years
Location155 Crystal Run Rd, Middletown, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Goustina Adly attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2015
  NPI Data:
  • NPI Number: 1689051054
  • Provider Enumeration Date: 05/05/2015
  • Last Update Date: 07/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799022679
  • Enrollment ID: I20190718000525

Medical Identifiers

Medical identifiers for Dr Goustina Adly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689051054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 298182 (New York)Secondary
208M00000XHospitalist 298182 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Hospital Medical CenterWest islip, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Hospital Medical Center5294639951113

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 Goustina Adly allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518901180
PECOS PAC ID: 5294639951
Enrollment ID: O20031124000491
Entity NameSamaritan Emergency Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104978014
PECOS PAC ID: 7012016660
Enrollment ID: O20070621000503
Entity NameSouthwest Suffolk Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104096049
PECOS PAC ID: 0244396349
Enrollment ID: O20090225000297
Entity NameMount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508127531
PECOS PAC ID: 6406096544
Enrollment ID: O20130712000368

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 Goustina Adly 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 Goustina Adly, DO
155 Crystal Run Rd,
Middletown, NY 10941-4057

Ph: (845) 703-6999		Dr Goustina Adly, DO
155 Crystal Run Rd,
Middletown, NY 10941-4057

Ph: (845) 703-6999

Reviews and Comments


Hospitalist Doctors in Middletown, NY

Dr. Khin Nge Hnin, MD
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Phone: 845-333-3370    Fax: 845-333-3372
Niranjan K Patel, MD
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Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
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Ibtesam Khan, D.O.
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Dr. Sumeet Smotra, MD
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Phone: 845-703-6999    Fax: 845-703-6297
Dr. Miriam Villegas, DO
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Phone: 845-703-6999    Fax: 845-703-6297
Dr. Khin May Myat, MD
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Phone: 845-333-3370    Fax: 845-333-3372
Arpan K Tolia, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297

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.