Anthonette Rosemarie Desire, MD | |
1 Station Ct, Building A Suite 1, Bellport, NY 11713-2453 | |
(631) 803-8247 | |
(631) 803-8251 |
Full Name | Anthonette Rosemarie Desire |
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Gender | Female |
Speciality | Hospitalist |
Experience | 21 Years |
Location | 1 Station Ct, Bellport, 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 |
---|---|---|---|
1548392590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 60243370 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Hospital | Port jefferson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Suffolk Medical Pc | 0244396349 | 143 |
Entity Name | Southwest Suffolk Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
Mailing Address | Practice Location Address |
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Anthonette Rosemarie Desire, MD 1 Station Ct, Building A Suite 1, Bellport, NY 11713-2453 Ph: (631) 803-8247 | Anthonette Rosemarie Desire, MD 1 Station Ct, Building A Suite 1, Bellport, NY 11713-2453 Ph: (631) 803-8247 |
Dr. Richard Edward Edstrom Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 926 S Country Rd, Bellport, NY 11713 Phone: 631-286-6130 Fax: 631-286-6130 | |
Nastassia De Souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Bellport Ave, Bellport, NY 11713 Phone: 631-288-7120 Fax: 929-455-9423 | |
Dr. Nathanael Desire, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Station Ct, Bldg A Suite 1, Bellport, NY 11713 Phone: 631-803-8247 Fax: 631-803-8251 |