Dr Allan Scott Detweiler, DO | |
271 Doughty Blvd, Inwood, NY 11096-2135 | |
(516) 371-6884 | |
(516) 371-6083 |
Full Name | Dr Allan Scott Detweiler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 271 Doughty Blvd, Inwood, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992706402 | NPI | - | NPPES |
05V551 | Other | NY | BLUE CROSS/BLUE SHIELD |
160447 | Other | NY | ELDERPLAN |
05V552 | Other | NY | BLUE CROSS/BLUE SHIELD |
38780A | Other | NY | CIGNA PPO |
131701 | Other | NY | CHN CONSUMER HEALTH NET |
2064925 | Other | NY | AETNA HMO |
58-2388280 | Other | NY | CHOICE CARE HUMANA |
TAX ID 58-2388280 | Other | NY | AMER.MEDICAL & LIFE INS. |
040426008913 | Other | NY | FIDELIS CARE |
58-2388280 | Other | NY | DEVON |
98413 | Other | NY | AETNA US HEALTHCARE |
38780A | Other | NY | CIGNA HMO |
58-2388280 | Other | NY | BEECH STREET |
58-2388280 | Other | NY | EMPIRE PLAN |
58-2388280 E69914 | Other | NY | AMERIHEALTH |
040927000056 | Other | NY | FIDELIS CARE |
33565040205232NY01 | Other | NY | ANTHEM HEALTH |
5235644 | Other | NY | AETNA PPO/POS PLAN |
DA5232 | Other | NY | ATLANTIS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 205232 (New York) | Primary |
207Q00000X | Family Medicine | OS0007505 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Shore Family Medical Associates Pc | 5597803213 | 3 |
Entity Name | South Shore Family Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720122716 PECOS PAC ID: 5597803213 Enrollment ID: O20091117000286 |
Mailing Address | Practice Location Address |
---|---|
Dr Allan Scott Detweiler, DO 271 Doughty Blvd, Inwood, NY 11096-2135 Ph: (516) 371-6884 | Dr Allan Scott Detweiler, DO 271 Doughty Blvd, Inwood, NY 11096-2135 Ph: (516) 371-6884 |
Dr. Chandra M Gupta, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Doughty Blvd, Inwood, NY 11096 Phone: 516-239-2924 Fax: 516-239-1609 |