Jack Philip Tom, MD in Stony Brook, NY

Jack Philip Tom, MD is a medicare enrolled "Dermatology" physician in Stony Brook, New York. His current practice location is 207 Hallock Rd, Suite 211, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-0004.

Jack Philip Tom is licensed to practice in New York (license number 155342) 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 1093724239.

Contact Information

	Jack Philip Tom, MD
	207 Hallock Rd, Suite 211, Stony Brook, NY 11790-3033
	(631) 444-0004
	(631) 444-0088

Map and Direction

Physician's Profile

Full Name	Jack Philip Tom
Gender	Male
Speciality	Dermatology
Location	207 Hallock Rd, Stony Brook, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093724239
Provider Enumeration Date: 08/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658437165
Enrollment ID: I20090309000452

Medical Identifiers

Medical identifiers for Jack Philip Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093724239	NPI	-	NPPES
01711760	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	155342 (New York)	Primary

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. Jack Philip Tom 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
Jack Philip Tom, MD 207 Hallock Rd, Suite 211, Stony Brook, NY 11790-3033 Ph: (631) 444-0004	Jack Philip Tom, MD 207 Hallock Rd, Suite 211, Stony Brook, NY 11790-3033 Ph: (631) 444-0004

Reviews and Comments

Dermatology Doctors in Stony Brook, NY

Joann N Salvemini, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1320 Stony Brook Rd Ste 200, Stony Brook, NY 11790 Phone: 631-444-4200 Fax: 631-444-4276
Dr. Evan C Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1320 Stony Brook Rd Ste 200, Stony Brook, NY 11790 Phone: 631-444-4272
Jordan Barry Slutsky, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook University Hospital, Medical Staff Office, Stony Brook, NY 11794 Phone: 631-444-2754 Fax: 631-444-6031
Dr. Jeremy Michael Hugh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1320 Stony Brook Rd, Stony Brook, NY 11790 Phone: 631-444-4200 Fax: 631-638-4220
Dr. Elyse S. Rafal, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Route 347, Building 22a, Stony Brook, NY 11790 Phone: 631-689-0300 Fax: 631-689-1153
Dr. Amy Wishner Steinberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Route 347, Bldg 5a Amy Wishner Steinberg Md, Stony Brook, NY 11790 Phone: 631-689-7683 Fax: 631-689-5793

Jack Philip Tom, MD - Medicare Dermatology in Stony Brook, NY