Dr Douglas Matthew Petraco, MD | |
6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | |
(631) 689-6698 | |
(631) 751-5548 |
Full Name | Dr Douglas Matthew Petraco |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 32 Years |
Location | 6 Technology Dr Ste 100, East Setauket, 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 |
---|---|---|---|
1922021476 | NPI | - | NPPES |
02011645 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 195619 (New York) | Secondary |
207X00000X | Orthopaedic Surgery | 195619 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Catholic Home Care | Farmingdale, NY | Home health agency |
St Charles Hospital | Port jefferson, NY | Hospital |
St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic Assoc Of Long Island Physicians And Medical Group Pllc | 6204169147 | 31 |
Entity Name | Orthopedic Associates Of Long Island Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194823914 PECOS PAC ID: 4880592419 Enrollment ID: O20031222000067 |
Entity Name | Orthopedic Assoc Of Long Island Physicians & Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225593809 PECOS PAC ID: 6204169147 Enrollment ID: O20190610001136 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Matthew Petraco, MD 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 Ph: (631) 689-6698 | Dr Douglas Matthew Petraco, MD 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 Ph: (631) 689-6698 |
Dr. Nicholas Divaris, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4233 | |
Dr. Michael Joseph Sileo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. Morgan Naichi Chen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. James Nicholson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4233 | |
Dr. Christopher Mileto, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Neil J Kurtz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Technology Dr, Suite 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 | |
Dr. John J Brennan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr Ste 100, East Setauket, NY 11733 Phone: 631-689-6698 Fax: 631-751-5548 |