Dr Erica Rachel Gross, MD | |
100 Nicolls Rd, Stony Brook, NY 11794-4874 | |
(631) 444-5437 | |
Not Available |
Full Name | Dr Erica Rachel Gross |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 100 Nicolls Rd, Stony Brook, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083851737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086S0120X | Surgery - Pediatric Surgery | 60942 (Wisconsin) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 25MA11248400 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Dr Erica Rachel Gross, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-2034 | Dr Erica Rachel Gross, MD 100 Nicolls Rd, Stony Brook, NY 11794-4874 Ph: (631) 444-5437 |
Tarek El-ghazaly, Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd Bldg Levelt9, Stony Brook, NY 11794 Phone: 631-444-1916 | |
Polikseni Eksarko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794 Phone: 631-444-8329 | |
Dr. Apostolos Tassiopoulos, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-2565 | |
Aaron R Sasson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Hst Level 18 Rm 065, Stony Brook, NY 11794 Phone: 631-444-8086 Fax: 631-444-7871 | |
Dr. Justin Margolis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Department Of Surgery, Health Sciences Center T19-090, Stony Brook, NY 11794 Phone: 631-444-2037 Fax: 631-444-8824 | |
Adam Michael Kressel, MD, PHD Surgery Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 |