Suffolk Primary Health, Llc - Medicare Primary Care in Riverhead, NY

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Suffolk Primary Health, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Riverhead, New York. The current practice location for Suffolk Primary Health, Llc is 170 Old Country Rd, Riverhead, New York. For appointments, you can reach them via phone at (631) 208-4460. The mailing address for Suffolk Primary Health, Llc is 170 Old Country Rd, Riverhead, New York and phone number is (631) 208-4460.

Suffolk Primary Health, Llc is licensed to practice in New York (license number 5155205R). The clinic also participates in the medicare program and its NPI number is 1174965727. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 208-4460.

Contact Information

Suffolk Primary Health, Llc
170 Old Country Rd
Riverhead
NY 11901-2198
(631) 208-4460
(631) 208-4462

Map and Direction


Primary Care Clinic Profile

Full NameSuffolk Primary Health, Llc
SpecialityClinic/Center
Location170 Old Country Rd, Riverhead, New York
Authorized Official Name and PositionKenneth Gaul (SOLE MEMBER)
Authorized Official Contact6314737100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suffolk Primary Health, Llc
170 Old Country Rd
Riverhead
NY 11901-2198

Ph: (631) 208-4460		Suffolk Primary Health, Llc
170 Old Country Rd
Riverhead
NY 11901-2198

Ph: (631) 208-4460

NPI Details:

NPI Number1174965727
Provider Enumeration Date07/24/2013
Last Update Date04/07/2017

Medicare PECOS Information:

Medicare PECOS PAC ID9436420510
Medicare Enrollment IDO20170808002088

Medical Identifiers

Medical identifiers for Suffolk Primary Health, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174965727NPI-NPPES
6361OtherNYNYS FACILITY ID
5155205ROtherNYNYS DOH OPCERT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (New York)Secondary
261QP2300XClinic/center - Primary Care 5155205R (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. Suffolk Primary Health, Llc acts as a billing entity for following providers:
Provider NameJose I Rodriguez-ospina
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144380114
PECOS PAC ID: 1759278716
Enrollment ID: I20040303000749
Provider NameLuis Maldonado
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619908639
PECOS PAC ID: 7012946510
Enrollment ID: I20050804001074
Provider NameImtiaz A Khokhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629075387
PECOS PAC ID: 6305948829
Enrollment ID: I20070301000098
Provider NameEdward Fruitman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558434134
PECOS PAC ID: 1254436488
Enrollment ID: I20070418000016
Provider NameLiliana Tique
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053359067
PECOS PAC ID: 3274667670
Enrollment ID: I20100820000835
Provider NameSimon Fensterszaub
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003077322
PECOS PAC ID: 5890970230
Enrollment ID: I20110428000025
Provider NameMonica A Dos Santos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346682739
PECOS PAC ID: 6608188305
Enrollment ID: I20150709001132
Provider NameSandra Camargo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922396274
PECOS PAC ID: 2264747765
Enrollment ID: I20150812008573
Provider NameElizabeth C Acevedo-danzi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821361684
PECOS PAC ID: 9436417326
Enrollment ID: I20171226000745

Reviews and Comments


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Lilly Steel Md Pllc
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Practice Location: 1267 E Main St, Suite A, Riverhead, NY 11901
Phone: 631-727-7100    Fax: 631-727-6754

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.