Grace N Gathungu, MD - Medicare Pediatrics in East Setauket, NY

Grace N Gathungu, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in East Setauket, New York. Her current practice location is 37 Research Way, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-4660.

Grace N Gathungu is licensed to practice in New York (license number 258748-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639354269.

Contact Information

Grace N Gathungu, MD
37 Research Way,
East Setauket, NY 11733-3465
(631) 444-4660
(631) 444-4339

Map and Direction




Physician's Profile

Full NameGrace N Gathungu
GenderFemale
SpecialityPediatrics - Pediatric Gastroenterology
Location37 Research Way, East Setauket, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639354269
  • Provider Enumeration Date: 01/02/2008
  • Last Update Date: 09/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4789739434
  • Enrollment ID: I20110204000866

Medical Identifiers

Medical identifiers for Grace N Gathungu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639354269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 045445 (Connecticut)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 045445 (Connecticut)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 258748-1 (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. Grace N Gathungu allows following entities to bill medicare on her behalf.
Entity NameStony Brook Children's Service, University Faculty Practice Corporatio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083660575
PECOS PAC ID: 8921993551
Enrollment ID: O20040220000822

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. Grace N Gathungu 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
Grace N Gathungu, MD
37 Research Way,
East Setauket, NY 11733-3465

Ph: (631) 444-4660
Grace N Gathungu, MD
37 Research Way,
East Setauket, NY 11733-3465

Ph: (631) 444-4660

Reviews and Comments


Pediatrics Doctors in East Setauket, NY

Payal R Anand,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 37 Research Way, East Setauket, NY 11733
Phone: 631-444-5437    
Dr. Saiqa Haque Nabi, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Technology Dr Ste 250, East Setauket, NY 11733
Phone: 631-444-4601    
Dr. Stuart Marc Holzer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Technology Dr, Suite 250, East Setauket, NY 11733
Phone: 631-444-4601    Fax: 631-444-4990
Julie Cherian, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 37 Research Way, East Setauket, NY 11733
Phone: 631-444-4660    
Michelle Tobin, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4 Technology Drive, East Setauket, NY 11733
Phone: 631-444-4601    Fax: 631-444-4990
Dr. Latha Chandran, M.D., M.P.H.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Technology Dr, East Setauket, NY 11733
Phone: 631-444-4601    
Dr. Shelly Beth Waldman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Technology Dr, East Setauket, NY 11733
Phone: 631-444-0650    

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.