Dr Modesto Fontanez, MD is a
Neurological Surgery physician based in Ronkonkoma, New York. Dr Modesto Fontanez is licensed to practice in New York (license number 181810-4) and his current practice location is 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 738-8300.
NPI number for Dr Modesto Fontanez is 1851395826 and his current mailing address is 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851395826.
Physician's Profile
| Full Name | Dr Modesto Fontanez |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 2805 Veterans Memorial Hwy, Ronkonkoma, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851395826
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Dr Modesto Fontanez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851395826 | NPI | - | NPPES |
| 2463258 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 35083857 (Ohio) | Secondary |
| 207T00000X | Neurological Surgery | 181810-4 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Modesto Fontanez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Modesto Fontanez, MD
2805 Veterans Memorial Hwy, Suite 8,
Ronkonkoma, NY 11779-7647
Ph: (631) 738-8300 | Dr Modesto Fontanez, MD
2805 Veterans Memorial Hwy, Suite 8,
Ronkonkoma, NY 11779-7647
Ph: (631) 738-8300 |
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