Evan Geller, | |
70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 | |
(631) 474-0707 | |
(631) 474-4034 |
Full Name | Evan Geller |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 70 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 |
---|---|---|---|
1972522811 | NPI | - | NPPES |
01033958 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 170433 (New York) | Primary |
Entity Name | Long Island Physician Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871906941 PECOS PAC ID: 9032436415 Enrollment ID: O20150324000458 |
Mailing Address | Practice Location Address |
---|---|
Evan Geller, 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 Ph: (631) 474-0707 | Evan Geller, 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 Ph: (631) 474-0707 |
Frank P Lunati Jr., MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 70 N Country Rd, Ste 201, Port Jefferson, NY 11777 Phone: 631-403-4310 Fax: 631-403-4312 | |
Markella Michael Christakis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 70 N Country Rd, Suite 201, Port Jefferson, NY 11777 Phone: 631-403-4310 Fax: 631-403-4312 | |
Ann Marie Defnet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd Ste 102, Port Jefferson, NY 11777 Phone: 631-938-6999 | |
Tina Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777 Phone: 631-689-0220 Fax: 631-686-7626 | |
Edward B Borden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 Belle Terre Rd Ste 201, Port Jefferson, NY 11777 Phone: 631-474-0707 Fax: 631-474-4034 | |
Kristen Dismore, PA Surgery Medicare: Medicare Enrolled Practice Location: 625 Belle Terre Rd Ste 202, Port Jefferson, NY 11777 Phone: 631-686-7990 | |
Dr. William Joseph Sellers, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd Ste 203, Port Jefferson, NY 11777 Phone: 631-474-0707 |