Mr Sam Tarik Mendoune I, NP in Stony Brook, NY

Mr Sam Tarik Mendoune I, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Stony Brook, New York. His current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 335-1657.

Mr Sam Tarik Mendoune I is licensed to practice in New York (license number F311288) 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 1003597469.

Contact Information

	Mr Sam Tarik Mendoune I, NP
	101 Nicolls Rd, Stony Brook, NY 11794-0001
	(631) 335-1657
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sam Tarik Mendoune I
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	101 Nicolls 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: 1003597469
Provider Enumeration Date: 07/28/2023
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3375998958
Enrollment ID: I20231017003137

Medical Identifiers

Medical identifiers for Mr Sam Tarik Mendoune I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003597469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F311288 (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. Mr Sam Tarik Mendoune I allows following entities to bill medicare on his 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. Mr Sam Tarik Mendoune I 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
Mr Sam Tarik Mendoune I, NP 50 Marc Dr, Ridge, NY 11961-2139 Ph: (631) 335-1657	Mr Sam Tarik Mendoune I, NP 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 335-1657

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Suny At Stony Brk, Stony Brook, NY 11794 Phone: 631-444-2701
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Mr Sam Tarik Mendoune I, NP - Medicare Nurse Practitioner in Stony Brook, NY