Look up the most recent NPI and PECOS records

Andrea Libutti

Emergency Medicine

Allopathic & Osteopathic Physicians

University Hospital, L4, Stony Brook, NY 11794-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Libutti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1053349241
Provider Type
Individual
Full Name
Libutti, Andrea
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/28/2006
Last Updated
7/8/2007

Contact Information

Practice Location

University Hospital, L4, Stony Brook, NY 11794-0001

(631) 444-2499

Unlisted Fax

Mailing Location

PO Box 1559, Stony Brook, NY 11790-0989

(631) 444-2499

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 226808 New York

Provider Identifiers

ID	Description	Issuer
ID 7246582	Description Other	Issuer AETNA New York
ID 02644397	Description Medicaid	Issuer Unlisted New York

Andrea Libutti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Hodson, Benjamin Richard

Kelly, Lawrence William

Chale, Stuart

Williams, Daryl W

Buttar, Simran

Schiff, Lawrence Russell

Khan, Ali Shah

Patel, Jiten

Kallus, Lester

Johnson, Scott