Mariam M Kirvalidze, DO in East Setauket, NY

Mariam M Kirvalidze, DO is a medicare enrolled "Family Medicine" physician in East Setauket, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Stony Brook Family And Preventive Medicine, University Faculty Practic and her current practice location is 181 N Belle Mead Rd Ste 2, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-5858.

Mariam M Kirvalidze is licensed to practice in New York (license number 310737) 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 1508353517.

Contact Information

	Mariam M Kirvalidze, DO
	181 N Belle Mead Rd Ste 2, East Setauket, NY 11733-3495
	(631) 444-5858
	(631) 444-1899

Map and Direction

Physician's Profile

Full Name	Mariam M Kirvalidze
Gender	Female
Speciality	Family Practice
Experience	6 Years
Location	181 N Belle Mead Rd Ste 2, East Setauket, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mariam M Kirvalidze attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2018

NPI Data:

NPI Number: 1508353517
Provider Enumeration Date: 04/16/2018
Last Update Date: 09/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1355695966
Enrollment ID: I20210630001365

Medical Identifiers

Medical identifiers for Mariam M Kirvalidze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508353517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	310737 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Family And Preventive Medicine, University Faculty Practic	7113816273	34

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. Mariam M Kirvalidze allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Family And Preventive Medicine, University Faculty Practic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982659470 PECOS PAC ID: 7113816273 Enrollment ID: O20040315000903

Entity Name	North Shore Lij Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060

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. Mariam M Kirvalidze 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
Mariam M Kirvalidze, DO 1033 Northern Blvd, Roslyn, NY 11576-1502 Ph: (516) 473-0782	Mariam M Kirvalidze, DO 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733-3495 Ph: (631) 444-5858

Reviews and Comments

Family Medicine Doctors in East Setauket, NY

Dr. Mark J Harary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548
Dr. Melissa Lectura, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-4630 Fax: 631-444-4652
Dr. Vivica Vollmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-5858 Fax: 631-444-1899
Dr. Donna Meltzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-0624
Dr. Susan Debevoise, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-444-0624
Ana Maria G Blanco, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733 Phone: 631-444-5858
Lisa Jue Wang, Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Deer Ln, East Setauket, NY 11733 Phone: 631-413-5430

Mariam M Kirvalidze, DO - Medicare Family Practice in East Setauket, NY