Shelly Stephens Groenendyk, MD in Port Jefferson, NY

Shelly Stephens Groenendyk, MD is a medicare enrolled "Anesthesiology" physician in Port Jefferson, New York. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice North Shore - Lij Anesthesiology, Pc and her current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (516) 382-7399.

Shelly Stephens Groenendyk is licensed to practice in New York (license number 329018) 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 1083060917.

Contact Information

	Shelly Stephens Groenendyk, MD
	75 N Country Rd, Port Jefferson, NY 11777-2190
	(516) 382-7399
	Not Available

Map and Direction

Physician's Profile

Full Name	Shelly Stephens Groenendyk
Gender	Female
Speciality	Anesthesiology
Experience	9 Years
Location	75 N Country Rd, Port Jefferson, 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:

Shelly Stephens Groenendyk attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016

NPI Data:

NPI Number: 1083060917
Provider Enumeration Date: 05/10/2016
Last Update Date: 11/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6709177090
Enrollment ID: I20241217002834

Medical Identifiers

Medical identifiers for Shelly Stephens Groenendyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083060917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	10516430-1205 (Utah)	Secondary
207L00000X	Anesthesiology	63603 (Tennessee)	Secondary
207L00000X	Anesthesiology	329018 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Anesthesiology, Pc	1153602453	937

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. Shelly Stephens Groenendyk allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Anesthesiology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498

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. Shelly Stephens Groenendyk 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
Shelly Stephens Groenendyk, MD 25 Rocky Hill Rd, Mount Sinai, NY 11766-1213 Ph: (801) 205-1033	Shelly Stephens Groenendyk, MD 75 N Country Rd, Port Jefferson, NY 11777-2190 Ph: (516) 382-7399

Reviews and Comments

Anesthesiology Doctors in Port Jefferson, NY

Bisma Masroor, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-1443
Dr. Daniel Feldman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Dr. James Bell Iii, MD/PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 511 Main St, Port Jefferson, NY 11777 Phone: 631-776-5135
Dr. Brian Durkin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 635 Belle Terre Rd # 209, Port Jefferson, NY 11777 Phone: 631-474-0707 Fax: 631-828-6309
Karina Braslavskaya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517
Michelle Garcia, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517

Shelly Stephens Groenendyk, MD - Medicare Anesthesiology in Port Jefferson, NY