Dr Dale A Distant, MD | |
450 Clarkson Ave, Suite C, Brooklyn, NY 11203-2056 | |
(718) 270-1422 | |
(718) 270-2826 |
Full Name | Dr Dale A Distant |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 40 Years |
Location | 450 Clarkson Ave, Brooklyn, 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 |
---|---|---|---|
1285612077 | NPI | - | NPPES |
01438926 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 190405-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suny/downstate University Hospital Of Brooklyn | Brooklyn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Physicians Of Brooklyn, Inc. | 0749192284 | 155 |
Flatlands Medical Associates, Pllc | 1052597051 | 5 |
Entity Name | University Physicians Of Brooklyn, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538116082 PECOS PAC ID: 0749192284 Enrollment ID: O20040728001520 |
Entity Name | Flatlands Medical Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124322201 PECOS PAC ID: 1052597051 Enrollment ID: O20110509000342 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale A Distant, MD 450 Clarkson Ave, Box 1262, Brooklyn, NY 11203-2056 Ph: (718) 270-8867 | Dr Dale A Distant, MD 450 Clarkson Ave, Suite C, Brooklyn, NY 11203-2056 Ph: (718) 270-1422 |
Dr. Vivian Jolley Bea, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-3288 Fax: 718-780-3154 | |
Anukware Ketosugbo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Plaza St E, Brooklyn, NY 11238 Phone: 718-622-1301 Fax: 718-622-1367 | |
Dr. Alan R. Go, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Dekalb Ave, Brooklyn, NY 11201 Phone: 718-250-6859 Fax: 718-250-6080 | |
Dr. Thomas Pritchard Mcintyre, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 451 Clarkson Ave, Brooklyn, NY 11203 Phone: 718-245-4145 | |
Radhakrishman Satheesan, MD Surgery Medicare: Medicare Enrolled Practice Location: 921 49th St, Brooklyn, NY 11219 Phone: 718-283-8773 Fax: 718-283-8796 | |
Benjamin A Youdelman, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 10th Ave, Brooklyn, NY 11219 Phone: 718-283-7686 Fax: 718-635-7421 | |
Adam Golden, Surgery Medicare: Medicare Enrolled Practice Location: 150 55th St, Brooklyn, NY 11220 Phone: 718-630-7000 |