Komal Amin, MD is a medicare enrolled "General Practice" physician in Commack, New York. Her current practice location is
25 Fairfield Way Apt 1, Commack, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 462-0473.
Komal Amin is licensed to practice in New York (license number 231868) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467897058.
Physician's Profile
Full Name | Komal Amin |
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Gender | Female |
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Speciality | General Practice |
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Location | 25 Fairfield Way Apt 1, Commack, 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: 1467897058
- Provider Enumeration Date: 05/08/2013
- Last Update Date: 04/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729226436
- Enrollment ID: I20130607000045
Medical Identifiers
Medical identifiers for Komal Amin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467897058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0401X | Internal Medicine - Addiction Medicine | 231868 (New York) | Secondary |
208D00000X | General Practice | 231868 (New York) | 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. Komal Amin allows following entities to bill medicare on her behalf.
Entity Name | Employee Assistance Resource Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720196942 PECOS PAC ID: 3476441056 Enrollment ID: O20040305000705 |
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Entity Name | Brookview Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
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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. Komal Amin 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 |
Komal Amin, MD 25 Fairfield Way Apt 1, Commack, NY 11725-3414 Ph: () - | Komal Amin, MD 25 Fairfield Way Apt 1, Commack, NY 11725-3414 Ph: (631) 462-0473 |
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