Dr Gerald C Smaldone, MD, PHD - Medicare Pulmonary Disease in East Setauket, NY

Dr Gerald C Smaldone, MD, PHD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in East Setauket, New York. He went to New York University School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and his current practice location is 26 Research Way, East Setauket, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-0580.

Dr Gerald C Smaldone is licensed to practice in New York (license number 142684) 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 1891710828.

Contact Information

Dr Gerald C Smaldone, MD, PHD
26 Research Way,
East Setauket, NY 11733
(631) 444-0580
Not Available

Map and Direction




Physician's Profile

Full NameDr Gerald C Smaldone
GenderMale
SpecialityPulmonary Disease
Experience49 Years
Location26 Research Way, East Setauket, 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 Gerald C Smaldone attended and graduated from New York University School Of Medicine in 1975
  NPI Data:
  • NPI Number: 1891710828
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 04/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911049945
  • Enrollment ID: I20100128000551

Medical Identifiers

Medical identifiers for Dr Gerald C Smaldone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891710828NPI-NPPES
38A75OtherNYEMPIRE BC.BS
00524630MedicaidNY
4496374OtherNYAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 142684 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suny/stony Brook University HospitalStony brook, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Internists University Faculty Practice Corporation9133019821362

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 Gerald C Smaldone allows following entities to bill medicare on his behalf.
Entity NameStony Brook Internists University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295778371
PECOS PAC ID: 9133019821
Enrollment ID: O20040317000450

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 Gerald C Smaldone 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 Gerald C Smaldone, MD, PHD
P.o. Box 1559,
Stony Brook, NY 11790

Ph: () -
Dr Gerald C Smaldone, MD, PHD
26 Research Way,
East Setauket, NY 11733

Ph: (631) 444-0580

Reviews and Comments


Internal Medicine Doctors in East Setauket, NY

Dr. William H Greene, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 205 N Belle Mead Ave, East Setauket, NY 11733
Phone: 631-444-1660    
Dr. Ellen Li, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3 Technology Dr, East Setauket, NY 11733
Phone: 631-444-5220    
Dr. Diane Klein-ritter, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 205 N Belle Mead Ave, East Setauket, NY 11733
Phone: 631-444-4630    
Ms. Larisa V Venezia, DO
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 46 Route 25a, Suite 6, East Setauket, NY 11733
Phone: 631-689-1444    Fax: 631-689-1448
Nardeen Mickail, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 14 Technology Dr, Suite 10, East Setauket, NY 11733
Phone: 631-689-5400    Fax: 631-689-8247
David M Franko, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 45 Research Way, Suite 008 & 108, East Setauket, NY 11733
Phone: 631-941-2704    Fax: 631-941-2009
Christopher M Cesa, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 45 Research Way, Suite 008 & 108, East Setauket, NY 11733
Phone: 631-941-2704    Fax: 631-941-2009

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.