Kristen Dismore, PA - Medicare Surgery in Port Jefferson, NY

Kristen Dismore, PA is a medicare enrolled "Surgery" physician in Port Jefferson, New York. Her current practice location is 625 Belle Terre Rd Ste 202, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 686-7990.

Kristen Dismore is licensed to practice in New York (license number 025086) 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 1326654120.

Contact Information

Kristen Dismore, PA
625 Belle Terre Rd Ste 202,
Port Jefferson, NY 11777-2318
(631) 686-7990
Not Available

Map and Direction




Physician's Profile

Full NameKristen Dismore
GenderFemale
SpecialitySurgery
Location625 Belle Terre Rd Ste 202, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326654120
  • Provider Enumeration Date: 09/17/2020
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496140535
  • Enrollment ID: I20220328001125

Medical Identifiers

Medical identifiers for Kristen Dismore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326654120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 025086 (New York)Primary

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. Kristen Dismore 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
Kristen Dismore, PA
4 Hazelwood Ave Apt 1,
Westhampton Beach, NY 11978-1405

Ph: (631) 445-1147
Kristen Dismore, PA
625 Belle Terre Rd Ste 202,
Port Jefferson, NY 11777-2318

Ph: (631) 686-7990

Reviews and Comments


Surgery Doctors in Port Jefferson, NY

Frank P Lunati Jr., MD
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Medicare: May Accept Medicare Assignments
Practice Location: 70 N Country Rd, Ste 201, Port Jefferson, NY 11777
Phone: 631-403-4310    Fax: 631-403-4312
Markella Michael Christakis, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 70 N Country Rd, Suite 201, Port Jefferson, NY 11777
Phone: 631-403-4310    Fax: 631-403-4312
Ann Marie Defnet, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Country Rd Ste 102, Port Jefferson, NY 11777
Phone: 631-938-6999    
Tina Joseph, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777
Phone: 631-689-0220    Fax: 631-686-7626
Edward B Borden, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 625 Belle Terre Rd Ste 201, Port Jefferson, NY 11777
Phone: 631-474-0707    Fax: 631-474-4034
Dr. William Joseph Sellers, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Country Rd Ste 203, Port Jefferson, NY 11777
Phone: 631-474-0707    

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.