Dr Peter Mckenna, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Stony Brook, New York. His current practice location is
Stony Brook Medicine Department Of Emergency, Hsc Level 4 Room 080, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 444-3880.
Dr Peter Mckenna is licensed to practice in * (Not Available) (license number ) 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 1275980104.
Physician's Profile
| Full Name | Dr Peter Mckenna |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Stony Brook Medicine Department Of Emergency, Stony Brook, 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. |
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NPI Data:
- NPI Number: 1275980104
- Provider Enumeration Date: 05/20/2016
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375884489
- Enrollment ID: I20190703000469
Medical Identifiers
Medical identifiers for Dr Peter Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275980104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 297011 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Peter Mckenna allows following entities to bill medicare on his behalf.
| Entity Name | Stony Brook Emergency Physicians, University Faculty Practice Corporat |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265487672
PECOS PAC ID: 6507757648
Enrollment ID: O20040320000283 |
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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 Peter Mckenna 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 Peter Mckenna,
Stony Brook Medicine Department Of Emergency, Hsc Level 4 Room 080,
Stony Brook, NY 11794-8350
Ph: (631) 444-3880 | Dr Peter Mckenna,
Stony Brook Medicine Department Of Emergency, Hsc Level 4 Room 080,
Stony Brook, NY 11794-8350
Ph: (631) 444-3880 |
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