Dr Nathanael Desire, DO | |
1 Station Ct, Bldg A Suite 1, Bellport, NY 11713-2453 | |
(631) 803-8247 | |
(631) 803-8251 |
Full Name | Dr Nathanael Desire |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 1 Station Ct, Bellport, 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 |
---|---|---|---|
1922118652 | NPI | - | NPPES |
02502298 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 216602 (New York) | Primary |
208000000X | Pediatrics | 216602 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
East End Hospice, Inc | Westhampton beach, NY | Hospice |
Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
St Charles Hospital | Port jefferson, NY | Hospital |
Peconic Landing At Southold | Greenport, NY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Suffolk Medical Pc | 0244396349 | 143 |
Stony Brook Internists University Faculty Practice Corporation | 9133019821 | 373 |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
Entity Name | Southwest Suffolk Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathanael Desire, DO 1 Station Ct, Bldg A Suite 1, Bellport, NY 11713-2453 Ph: (631) 803-8247 | Dr Nathanael Desire, DO 1 Station Ct, Bldg A Suite 1, Bellport, NY 11713-2453 Ph: (631) 803-8247 |
Anthonette Rosemarie Desire, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Station Ct, Building A Suite 1, Bellport, NY 11713 Phone: 631-803-8247 Fax: 631-803-8251 | |
Dr. Richard Edward Edstrom Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 926 S Country Rd, Bellport, NY 11713 Phone: 631-286-6130 Fax: 631-286-6130 | |
Nastassia De Souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Bellport Ave, Bellport, NY 11713 Phone: 631-288-7120 Fax: 929-455-9423 |