Carl Tack, MD in Stony Brook, NY - Medicare Interventional Radiology

Carl Tack, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Stony Brook, New York. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice University Radiology Associates, Llp and his current practice location is Hsc L4 Rm 120, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-5400.

Carl Tack is licensed to practice in New York (license number 157604) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023189529.

Contact Information

	Carl Tack, MD
	Hsc L4 Rm 120, Stony Brook, NY 11794-8460
	(631) 444-5400
	(631) 444-7538

Map and Direction

Physician's Profile

Full Name	Carl Tack
Gender	Male
Speciality	Interventional Radiology
Experience	43 Years
Location	Hsc L4 Rm 120, Stony Brook, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carl Tack graduated from medical school in 1981

NPI Data:

NPI Number: 1023189529
Provider Enumeration Date: 11/13/2006
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0345233441
Enrollment ID: I20231108002075

Medical Identifiers

Medical identifiers for Carl Tack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023189529	NPI	-	NPPES
01225323	Medicaid	NY
200093473	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	157604 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital S U N Y Health Science Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Radiology Associates, Llp	4981686110	38

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. Carl Tack allows following entities to bill medicare on his behalf.

Entity Name	University Radiology Associates, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215978184 PECOS PAC ID: 4981686110 Enrollment ID: O20040602001011

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. Carl Tack 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
Carl Tack, MD Hsc Level 4, Room 120, Stony Brook, NY 11794-8460 Ph: (631) 444-5400	Carl Tack, MD Hsc L4 Rm 120, Stony Brook, NY 11794-8460 Ph: (631) 444-5400

Reviews and Comments

Radiology Doctors in Stony Brook, NY

Dr. Avraham Bluestone, MD,PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Radiology, Hsc L4, Room 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538
Kathleen Marie Finzel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd Rm 120, Health Science Center Leve 4 8460, Stony Brook, NY 11794 Phone: 631-444-5400
Dr. Corazon Cabahug, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: University Hospital At Stony Brook, Level 4, Stony Brook, NY 11794 Phone: 631-444-6919
Mingqian Huang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Nicolls Road And Health Sciences, Hsc Level 4 Room 120, Stony Brook, NY 11794 Phone: 631-444-7955
Dr. Daichi Hayashi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology Stony Brook Medicine, Stony Brook, NY 11794 Phone: 631-444-2484 Fax: 631-444-7538
Dr. Punit Chhaganlal Aghera, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Hsc L4 Rm 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538

Carl Tack, MD - Medicare Interventional Radiology in Stony Brook, NY