Mrs Claudia Mike Provenzale, AGNP in Stony Brook, NY

Mrs Claudia Mike Provenzale, AGNP is a medicare enrolled "Internal Medicine" physician in Stony Brook, New York. Her current practice location is 2500 Nesconset Hwy Bldg 11d, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 689-7899.

Mrs Claudia Mike Provenzale is licensed to practice in New York (license number F310912-01) 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 1245009547.

Contact Information

	Mrs Claudia Mike Provenzale, AGNP
	2500 Nesconset Hwy Bldg 11d, Stony Brook, NY 11790-2553
	(631) 689-7899
	(631) 689-7865

Map and Direction

Physician's Profile

Full Name	Mrs Claudia Mike Provenzale
Gender	Female
Speciality	Internal Medicine
Location	2500 Nesconset Hwy Bldg 11d, 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: 1245009547
Provider Enumeration Date: 12/28/2023
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6709224942
Enrollment ID: I20240405002730

Medical Identifiers

Medical identifiers for Mrs Claudia Mike Provenzale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245009547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	F310912-01 (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. Mrs Claudia Mike Provenzale allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248

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. Mrs Claudia Mike Provenzale 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
Mrs Claudia Mike Provenzale, AGNP 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 Ph: (631) 689-7899	Mrs Claudia Mike Provenzale, AGNP 2500 Nesconset Hwy Bldg 11d, Stony Brook, NY 11790-2553 Ph: (631) 689-7899

Reviews and Comments

Internal Medicine Doctors in Stony Brook, NY

Mohamed Hassan Kamel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Stony Brook University Hospital 101 Nicolls Road, Stony Brook, NY 11794 Phone: 631-689-8333
Narinder Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-4000
Dr. Kanhai Farrakhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-0580
Dr. Andrzej Kudelka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Pellegrino Rd, Z8151, Stony Brook, NY 11794 Phone: 631-638-0910 Fax: 631-638-0195
Dr. Richard Lin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-2540
Dr. Ajay Malhotra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Hsc L4 Rm 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538
Dr. John Anthony Savino Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Stony Brook Rd Bldg D, Stony Brook, NY 11790 Phone: 212-241-1653 Fax: 212-289-6393

Mrs Claudia Mike Provenzale, AGNP - Medicare Internal Medicine in Stony Brook, NY