Dr Andrzej Kudelka, MD - Medicare Internal Medicine in Stony Brook, NY

Dr Andrzej Kudelka, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Stony Brook, New York. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 3 Pellegrino Rd, Z8151, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 638-0910.

Dr Andrzej Kudelka is licensed to practice in New York (license number 240693) 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 1003910209.

Contact Information

Dr Andrzej Kudelka, MD
3 Pellegrino Rd, Z8151,
Stony Brook, NY 11794-8151
(631) 638-0910
(631) 638-0195

Map and Direction




Physician's Profile

Full NameDr Andrzej Kudelka
GenderMale
SpecialityInternal Medicine
Experience42 Years
Location3 Pellegrino Rd, Stony Brook, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrzej Kudelka graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1003910209
  • Provider Enumeration Date: 09/11/2006
  • Last Update Date: 06/05/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5193723971
  • Enrollment ID: I20221129001153

Medical Identifiers

Medical identifiers for Dr Andrzej Kudelka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003910209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RX0202XInternal Medicine - Medical Oncology 240693 (New York)Primary
208M00000XHospitalist 240693 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Verde Valley Medical CenterCottonwood, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Arizona Healthcare Corporation3577473362370

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. Dr Andrzej Kudelka allows following entities to bill medicare on his behalf.
Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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. Dr Andrzej Kudelka 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 AddressPractice Location Address
Dr Andrzej Kudelka, MD
3 Pellegrino Rd, Z8151,
Stony Brook, NY 11794-8151

Ph: (631) 638-0910
Dr Andrzej Kudelka, MD
3 Pellegrino Rd, Z8151,
Stony Brook, NY 11794-8151

Ph: (631) 638-0910

Reviews and Comments


Internal Medicine Doctors in Stony Brook, NY

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Dr. Richard Lin, M.D.
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Dr. John Anthony Savino Iii, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1320 Stony Brook Rd Bldg D, Stony Brook, NY 11790
Phone: 212-241-1653    Fax: 212-289-6393

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.