Dr Olena Ksovreli, MD | |
Health Sciences Ctr, Stony Brook University, Stony Brook, NY 11794-8160 | |
(631) 444-8478 | |
(631) 444-7546 |
Full Name | Dr Olena Ksovreli |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | Health Sciences Ctr, Stony Brook, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821063041 | NPI | - | NPPES |
047041 | Other | CT | CT LICENCE |
221578 | Other | NY | LICENSE |
CSP 0044740 | Other | CT | DEPT. OF CONSUMER PROTECTION |
02177879 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 221578 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Calvary Hospital Inc | 9133010382 | 21 |
Entity Name | Calvary Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858390 PECOS PAC ID: 9133010382 Enrollment ID: O20040324001430 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Dr Olena Ksovreli, MD Po Box 1554, Stony Brook, NY 11790-0988 Ph: (631) 444-0650 | Dr Olena Ksovreli, MD Health Sciences Ctr, Stony Brook University, Stony Brook, NY 11794-8160 Ph: (631) 444-8478 |
Mohamed Hassan Kamel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Stony Brook University Hospital 101 Nicolls Road, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Narinder Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-4000 | |
Dr. Kanhai Farrakhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-0580 | |
Dr. Andrzej Kudelka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Pellegrino Rd, Z8151, Stony Brook, NY 11794 Phone: 631-638-0910 Fax: 631-638-0195 | |
Dr. Richard Lin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-2540 | |
Dr. Ajay Malhotra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Hsc L4 Rm 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538 | |
Dr. John Anthony Savino Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Stony Brook Rd Bldg D, Stony Brook, NY 11790 Phone: 212-241-1653 Fax: 212-289-6393 |