Dr Martin Philip Gagliardi, MD,FACS is a medicare enrolled "Specialist" physician in Hauppauge, New York. His current practice location is
1393 Veterans Memorial Hwy Ste 110n, Hauppauge, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 851-7800.
Dr Martin Philip Gagliardi is licensed to practice in Florida (license number 621177778) 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 1649262650.
Physician's Profile
Full Name | Dr Martin Philip Gagliardi |
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Gender | Male |
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Speciality | Specialist |
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Location | 1393 Veterans Memorial Hwy Ste 110n, Hauppauge, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649262650
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 01/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587654165
- Enrollment ID: I20190220003089
Medical Identifiers
Medical identifiers for Dr Martin Philip Gagliardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649262650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 4301077321 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | MD00043362 (Washington) | Secondary |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 248554 (New York) | Secondary |
174400000X | Specialist | 621177778 (Florida) | 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 Martin Philip Gagliardi allows following entities to bill medicare on his behalf.
Entity Name | Magnolia Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073827549 PECOS PAC ID: 5193912889 Enrollment ID: O20101207000799 |
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Entity Name | Magnolia Professional Billing |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528592961 PECOS PAC ID: 2860760279 Enrollment ID: O20170607001996 |
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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 Martin Philip Gagliardi 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 Address | Practice Location Address |
Dr Martin Philip Gagliardi, MD,FACS Marty P Gagliardi, Md, 827 Eden Drive, Santa Rosa Beach, FL 32459-5960 Ph: (850) 257-3708 | Dr Martin Philip Gagliardi, MD,FACS 1393 Veterans Memorial Hwy Ste 110n, Hauppauge, NY 11788-3000 Ph: (631) 851-7800 |
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