Maritza Lastra Groth, MD in Port Jefferson, NY

Maritza Lastra Groth, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Port Jefferson, New York. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice John T Mather Memorial Hospital and her current practice location is 70 N Country Rd, Suite 101, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 473-0037.

Maritza Lastra Groth is licensed to practice in New York (license number 159478) 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 1306908314.

Contact Information

	Maritza Lastra Groth, MD
	70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161
	(631) 473-0037
	(631) 473-0228

Map and Direction

Physician's Profile

Full Name	Maritza Lastra Groth
Gender	Female
Speciality	Pulmonary Disease
Experience	41 Years
Location	70 N Country Rd, Port Jefferson, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maritza Lastra Groth graduated from medical school in 1983

NPI Data:

NPI Number: 1306908314
Provider Enumeration Date: 12/15/2006
Last Update Date: 02/14/2013

Medicare PECOS Information:

PECOS PAC ID: 7810026325
Enrollment ID: I20100521000180

Medical Identifiers

Medical identifiers for Maritza Lastra Groth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306908314	NPI	-	NPPES
01211009	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	159478 (New York)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	159478 (New York)	Primary
207RS0012X	Internal Medicine - Sleep Medicine	159478 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John T Mather Memorial Hospital	1254237753	140

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. Maritza Lastra Groth allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

Entity Name	Harbor View Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861636219 PECOS PAC ID: 5092865873 Enrollment ID: O20090617000230

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. Maritza Lastra Groth 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
Maritza Lastra Groth, MD Po Box 5540, Hicksville, NY 11802-5540 Ph: (631) 473-0037	Maritza Lastra Groth, MD 70 N Country Rd, Suite 101, Port Jefferson, NY 11777-2161 Ph: (631) 473-0037

Reviews and Comments

Internal Medicine Doctors in Port Jefferson, NY

Jay M Barbakoff, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 60 North Country Rd, Suite 203, Port Jefferson, NY 11777 Phone: 631-928-3444 Fax: 877-434-7939
Dr. William L. Taibi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 710 Main St, Port Jefferson, NY 11777 Phone: 631-474-4000 Fax: 631-474-4011
Arain Mohammad Nawaz, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 620 Belle Terre Rd, Suite 1, Port Jefferson, NY 11777 Phone: 631-928-0240 Fax: 631-928-0855
Joan C Faro, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2866 Fax: 631-476-2874
Dr. Mark J. Kropf, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Road, Suite 100, Port Jefferson, NY 11777 Phone: 631-331-6090 Fax: 631-474-7855
Javeria Nasim, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7972
Mr. Ismael V. David, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6 Anchorage Rd, Port Jefferson, NY 11777 Phone: 631-331-4887

Maritza Lastra Groth, MD - Medicare Pulmonary Disease in Port Jefferson, NY