Dr Derek Noel Mattimoe, MD - Medicare Family Practice in Stony Brook, NY

Dr Derek Noel Mattimoe, MD is a medicare enrolled "Family Medicine" physician in Stony Brook, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Chs Physician Partners Pc and his current practice location is 2500 Nesconset Hwy, Bldg 7d, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 751-3322.

Dr Derek Noel Mattimoe is licensed to practice in New York (license number 216334) 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 1164494613.

Contact Information

Dr Derek Noel Mattimoe, MD
2500 Nesconset Hwy, Bldg 7d,
Stony Brook, NY 11790-2555
(631) 751-3322
(631) 751-3844

Map and Direction




Physician's Profile

Full NameDr Derek Noel Mattimoe
GenderMale
SpecialityFamily Practice
Experience27 Years
Location2500 Nesconset Hwy, 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 Derek Noel Mattimoe attended and graduated from Columbia University College Of Physicians And Surgeons in 1997
  NPI Data:
  • NPI Number: 1164494613
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264478585
  • Enrollment ID: I20050707000962

Medical Identifiers

Medical identifiers for Dr Derek Noel Mattimoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164494613NPI-NPPES
02068326MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 216334 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Catholic Home CareFarmingdale, NYHome health agency
St Charles HospitalPort jefferson, NYHospital
Good Samaritan Hospital Medical CenterWest islip, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chs Physician Partners Pc7618955667508

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 Derek Noel Mattimoe allows following entities to bill medicare on his behalf.
Entity NameChs Physician Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164585725
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027

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 Derek Noel Mattimoe 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 Derek Noel Mattimoe, MD
2500 Nesconset Hwy, Bldg 7d,
Stony Brook, NY 11790-2555

Ph: (631) 751-3322
Dr Derek Noel Mattimoe, MD
2500 Nesconset Hwy, Bldg 7d,
Stony Brook, NY 11790-2555

Ph: (631) 751-3322

Reviews and Comments


Family Medicine Doctors in Stony Brook, NY

Lucas James Mcarthur, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794
Phone: 631-444-2754    Fax: 631-444-6031
Dr. William James Robbins, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4 Meadow Dr, Stony Brook, NY 11790
Phone: 631-741-4323    Fax: 631-751-6488
Dr. Sujatha Konnanath Palat, M.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1stadium Rd,student Health Service, Stonybrook Univ, Stony Brook, NY 11794
Phone: 631-632-6740    Fax: 631-632-6936
Dr. Kulsoom Shah, M.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, NY 11794
Phone: 631-632-6740    Fax: 631-632-6936
Dr. Gretchen L Mockler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Stony Brook Family Medicine, Hsc L4 Room 050, Stony Brook, NY 11794
Phone: 631-444-8430    
Dr. Michael Mark Fishkin, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790
Phone: 631-751-3322    Fax: 631-751-3844

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.