Edward M Condon, MD - Medicare Endocrinology in Commack, NY

Edward M Condon, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Commack, New York. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Edward Condon Medical Pc and his current practice location is 6080 Jericho Tpke, Suite 314, Commack, New York. You can reach out to his office (for appointments etc.) via phone at (631) 462-2200.

Edward M Condon is licensed to practice in New York (license number 127245) 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 1225058969.

Contact Information

Edward M Condon, MD
6080 Jericho Tpke, Suite 314,
Commack, NY 11725-2850
(631) 462-2200
(866) 852-5985

Map and Direction




Physician's Profile

Full NameEdward M Condon
GenderMale
SpecialityEndocrinology
Experience51 Years
Location6080 Jericho Tpke, Commack, 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:
  • Edward M Condon graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1225058969
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/31/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4284601998
  • Enrollment ID: I20040913000959

Medical Identifiers

Medical identifiers for Edward M Condon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225058969NPI-NPPES
3444104OtherNYAETNA/US HEALTHCARE HMO
4312729OtherNYAETNA/US HEALTHCARE
P3194859OtherNYOXFORD HEALTH PLAN
EC094S0510OtherNYEMPIRE BCBS-NY
2190581OtherNYCIGNA
230035OtherNYGHI PPO
02215447MedicaidNY
000000080165OtherNYGHI HMO
3C6337OtherNYHEALTH NET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 127245 (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
Edward Condon Medical Pc66089544335

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. Edward M Condon allows following entities to bill medicare on his behalf.
Entity NameEdward Condon Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811174519
PECOS PAC ID: 6608954433
Enrollment ID: O20080506000596

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. Edward M Condon 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
Edward M Condon, MD
6080 Jericho Tpke, Suite 314,
Commack, NY 11725-2850

Ph: (631) 462-2200
Edward M Condon, MD
6080 Jericho Tpke, Suite 314,
Commack, NY 11725-2850

Ph: (631) 462-2200

Reviews and Comments


Internal Medicine Doctors in Commack, NY

Elizabeth Adele Sturm, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2262    
Dr. Karen Blau, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2000    
Prabha Pillai, M.D
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 45 Mall Dr, Commack, NY 11725
Phone: 914-376-5555    
Dr. Saadat Ul Aleem, M.D./PH.D.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 500 Commack Rd Unit 150d, Commack, NY 11725
Phone: 934-223-7123    Fax: 934-223-7118
Asmita Satapathy, M.D
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 777 Larkfield Rd Ste 1, Commack, NY 11725
Phone: 631-635-5100    
Janice Shen,
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 631-623-4258    
Steven M Sugarman, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 646-227-3813    

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.