Dr Mathew S Hensley, MD | |
75 N Country Rd, Port Jefferson, NY 11777 | |
(631) 686-1418 | |
Not Available |
Full Name | Dr Mathew S Hensley |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 75 N Country Rd, Port Jefferson, 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 |
---|---|---|---|
1548797913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301112331 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD480332 (Pennsylvania) | Primary |
Entity Name | Medical Imaging Of Lehigh Valley Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178023 PECOS PAC ID: 1557265212 Enrollment ID: O20040329001466 |
Mailing Address | Practice Location Address |
---|---|
Dr Mathew S Hensley, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 686-1418 | Dr Mathew S Hensley, MD 75 N Country Rd, Port Jefferson, NY 11777 Ph: (631) 686-1418 |
Joseph M Carrucciu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-473-1320 | |
Dr. Jonathan Edward Lerner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Ian Ralph Whiteside, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Michelle P Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7693 | |
Dr. Saurabh Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Arthi Reddy, Radiology Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Kenny Lien, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Road, Port Jefferson, NY 11777 Phone: 631-476-2767 Fax: 631-473-0132 |