Dr Sophia Boulukos, MD - Medicare Internal Medicine in Sayville, NY

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Dr Sophia Boulukos, MD is a medicare enrolled "Internal Medicine" physician in Sayville, New York. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Physicians Private Practice Pllc and her current practice location is 160 Middle Rd, Sayville, New York. You can reach out to her office (for appointments etc.) via phone at (631) 379-6728.

Dr Sophia Boulukos is licensed to practice in New York (license number 250691) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922259878.

Contact Information

Dr Sophia Boulukos, MD
160 Middle Rd,
Sayville, NY 11782-3126
(631) 379-6728
Not Available

Map and Direction




Physician's Profile

Full NameDr Sophia Boulukos
GenderFemale
SpecialityInternal Medicine
Experience21 Years
Location160 Middle Rd, Sayville, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sophia Boulukos graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1922259878
  • Provider Enumeration Date: 10/08/2008
  • Last Update Date: 10/08/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8921139635
  • Enrollment ID: I20100624000356

Medical Identifiers

Medical identifiers for Dr Sophia Boulukos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922259878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 250691 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Catholic Home CareFarmingdale, NYHome health agency
North Shore University HospitalManhasset, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Private Practice Pllc94362747762

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 Sophia Boulukos allows following entities to bill medicare on her behalf.
Entity NamePhysicians Private Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730408923
PECOS PAC ID: 9436274776
Enrollment ID: O20100910000182
Entity NameVytaliz Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568831105
PECOS PAC ID: 7719296938
Enrollment ID: O20151028002361

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 Sophia 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 AddressPractice Location Address
Dr Sophia Boulukos, MD
262 Helm Ln,
Bay Shore, NY 11706-8109

Ph: (631) 258-9362		Dr Sophia Boulukos, MD
160 Middle Rd,
Sayville, NY 11782-3126

Ph: (631) 379-6728

Reviews and Comments


Internal Medicine Doctors in Sayville, NY

Philip Labarbera, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 430 Montauk Hwy, Sayville, NY 11782
Phone: 631-589-9303    
Alfonso Tan, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 297 W Main St, Sayville, NY 11782
Phone: 631-589-2323    Fax: 631-589-9069

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.