Dr Peter A Boulukos, MD in West Islip, NY

Dr Peter A Boulukos, MD is a medicare enrolled "Anesthesiology" physician in West Islip, New York. His current practice location is 471 Montauk Hwy, West Islip, New York. You can reach out to his office (for appointments etc.) via phone at (631) 849-1050.

Dr Peter A Boulukos is licensed to practice in New York (license number 141481-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184782260.

Contact Information

	Dr Peter A Boulukos, MD
	471 Montauk Hwy, West Islip, NY 11795-4414
	(631) 849-1050
	(631) 849-1052

Map and Direction

Physician's Profile

Full Name	Dr Peter A Boulukos
Gender	Male
Speciality	Anesthesiology
Location	471 Montauk Hwy, West Islip, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184782260
Provider Enumeration Date: 12/04/2006
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0244361608
Enrollment ID: I20100629000109

Medical Identifiers

Medical identifiers for Dr Peter A Boulukos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184782260	NPI	-	NPPES
PB027A5210	Other	NY	BLUE CROSS BLUE SHILED
141481-2 CAN	Other	NY	WORKERS COMPENSATION
00535199	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	141481-1 (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. 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 Peter A Boulukos allows following entities to bill medicare on his behalf.

Entity Name	Long Island Anesthesia Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103

Entity Name	Suffolk Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871869305 PECOS PAC ID: 2567609464 Enrollment ID: O20130514000209

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 Peter A Boulukos 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
Dr Peter A Boulukos, MD 12 Grouse Ln, Huntington, NY 11743-1029 Ph: (516) 356-3888	Dr Peter A Boulukos, MD 471 Montauk Hwy, West Islip, NY 11795-4414 Ph: (631) 849-1050

Reviews and Comments

Anesthesiology Doctors in West Islip, NY

Terence James Omalley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital Medical Center, West Islip, NY 11795 Phone: 631-376-4088 Fax: 631-376-3289
Dr. Claude Simon Gerstenhaber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital Center, West Islip, NY 11795 Phone: 631-376-4088
Roxana Teodora Sacarin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795 Phone: 833-547-7463
Eric Fanaee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Montauk Hwy, West Islip, NY 11795 Phone: 631-422-5371
Rodolfo M Domingo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital Medical Center, West Islip, NY 11795 Phone: 631-376-4088
Osborne D Williams, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Highway, Good Smaritan Hospital Medical Center, West Islip, NY 11795 Phone: 631-376-4088 Fax: 631-376-4539

Dr Peter A Boulukos, MD - Medicare Anesthesiology in West Islip, NY