Dr Kyle Raynor Wicomb, | |
7901 Broadway # A1-16, Elmhurst, NY 11373-1329 | |
(718) 334-2488 | |
Not Available |
Full Name | Dr Kyle Raynor Wicomb |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 6 Years |
Location | 7901 Broadway # A1-16, Elmhurst, 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 |
---|---|---|---|
1558865147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A176702 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
El Centro Regional Medical Center | El centro, CA | Hospital |
Hilo Medical Center | Hilo, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quantum Healthcare Medical Associates Inc | 5294647574 | 86 |
24 On Physicians Of California Pc | 7012228992 | 49 |
Entity Name | Quantum Healthcare Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20070315000063 |
Entity Name | Hawaii Post Acute Medical Services 1 Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780171074 PECOS PAC ID: 5395093512 Enrollment ID: O20180804000004 |
Mailing Address | Practice Location Address |
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Dr Kyle Raynor Wicomb, 2016 N 10th St Apt 3, El Centro, CA 92243-4462 Ph: (808) 747-6349 | Dr Kyle Raynor Wicomb, 7901 Broadway # A1-16, Elmhurst, NY 11373-1329 Ph: (718) 334-2488 |
Shanedeep Singh Gill, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7901 Broadway # A1-19, Elmhurst, NY 11373 Phone: 757-636-1774 | |
Joan M. Curcio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, C6-10, Elmhurst, NY 11373 Phone: 718-334-4000 | |
George Nicholas Coritsidis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Dr. Koshi A Padnani, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5910 Junction Blvd, Elmhurst, NY 11373 Phone: 718-592-3200 Fax: 718-592-3844 | |
Jeffrey J. Silbiger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tu Tu Mon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Room A1-16, Elmhurst, NY 11373 Phone: 718-334-2490 Fax: 718-334-5845 | |
Nathalie D. Burg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |