Angel G Premkumar, MD | |
4500 Parsons Blvd, Flushing, NY 11355 | |
(718) 670-5447 | |
(718) 670-3039 |
Full Name | Angel G Premkumar |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 4500 Parsons Blvd, Flushing, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245298108 | NPI | - | NPPES |
02735399 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 219739 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flushing Hospital Medical Center | Flushing, NY | Hospital |
Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jamaica Hospital | 2264324334 | 201 |
Tjh Medical Services Pc | 8527960533 | 186 |
Entity Name | Tjh Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
Entity Name | Jamaica Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
Entity Name | Harlem Medical Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
Mailing Address | Practice Location Address |
---|---|
Angel G Premkumar, MD 80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230 Ph: (631) 391-7887 | Angel G Premkumar, MD 4500 Parsons Blvd, Flushing, NY 11355 Ph: (718) 670-5447 |
Kiran Chawla, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-670-5447 Fax: 718-670-3039 | |
Dr. David J. Axelrod, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 17660 Union Tpke Ste 130, Flushing, NY 11366 Phone: 718-820-9729 Fax: 718-820-9730 | |
Dr. Rakhi Goel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Dept Of Radiology, Flushing, NY 11355 Phone: 718-670-1888 | |
Dr. John P Derosa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 | |
Dr. Jeffrey C Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 | |
Lia Bartella, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 170-17 Northern Blvd, Flushing, NY 11358 Phone: 646-637-8331 Fax: 718-539-4021 | |
Dr. Han Kim, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1594 Fax: 718-670-1901 |