Dr Kasturi Etukuru, MD, | |
355 Bard Ave, Staten Island, NY 10310-1664 | |
(718) 818-2526 | |
Not Available |
Full Name | Dr Kasturi Etukuru |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 355 Bard Ave, Staten Island, 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 |
---|---|---|---|
1912117300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 244886 (New York) | Secondary |
207R00000X | Internal Medicine | 25MA08605300 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meridian Hospice | Neptune, NJ | Hospice |
Southern Ocean Medical Center | Manahawkin, NJ | Hospital |
Community Medical Center | Toms river, NJ | Hospital |
Jfk Medical Center | Edison, NJ | Hospital |
Seacrest Village | Little egg harbor tw, NJ | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rwjbh Emergency Medicine Associates, Llc | 0941612840 | 647 |
Plover Inpatient Services Llc | 1355561663 | 122 |
Entity Name | Plover Inpatient Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134534688 PECOS PAC ID: 1355561663 Enrollment ID: O20141009001113 |
Entity Name | Rwjbh Observation Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Entity Name | Etukuru Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780449868 PECOS PAC ID: 0941647903 Enrollment ID: O20240326002491 |
Mailing Address | Practice Location Address |
---|---|
Dr Kasturi Etukuru, MD, 355 Bard Ave, Apt#6g, Staten Island, NY 10310-1664 Ph: (718) 701-0043 | Dr Kasturi Etukuru, MD, 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-2526 |
Liliane Sarkis Deeb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308 Phone: 718-226-7855 Fax: 718-227-5814 | |
Deepak Vadada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611 | |
Dr. Samantha Maria Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9510 Fax: 718-226-3473 | |
Dr. Jean Chalhoub, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305 Phone: 718-226-8855 | |
Dr. Gustave Stephen Drivas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312 Phone: 718-948-3890 Fax: 718-948-3961 | |
Dr. Beatrice Nogueira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6902 Fax: 718-226-6844 | |
Dr. Felicia Tenedios, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314 Phone: 718-447-0055 Fax: 718-876-5212 |