Dr Michael Destefano, MD | |
75 N Country Rd, Port Jefferson, NY 11777-2119 | |
(631) 473-1320 | |
Not Available |
Full Name | Dr Michael Destefano |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 75 N Country Rd, Port Jefferson, 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 |
---|---|---|---|
1407200116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 301867 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aldad Medical Pc | 9234291436 | 63 |
Aldad Medical Pc | 9234291436 | 63 |
Entity Name | Aldad Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174784953 PECOS PAC ID: 9234291436 Enrollment ID: O20081223000175 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Destefano, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320 | Dr Michael Destefano, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320 |
Dinesh Shukla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777 Phone: 631-331-0776 Fax: 631-473-4760 | |
Ryan Berry, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2518 | |
Jeena Elizabeth John, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2517 | |
Sameh Wahba, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 60 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-0776 | |
Dr. Christopher M Sinclair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 254 Windward Dr, Port Jefferson, NY 11777 Phone: 631-560-7290 | |
Paul Fritz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 | |
Juliet A Nicolescu-nichols, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 |