Hariton Kousourou, MD | |
45 Route 25a, Suite C, Shoreham, NY 11786-1389 | |
(631) 821-2626 | |
(631) 744-1627 |
Full Name | Hariton Kousourou |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 45 Route 25a, Shoreham, 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 |
---|---|---|---|
1326133646 | NPI | - | NPPES |
01026700 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 156800 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bronson At Home | Battle creek, MI | Home health agency |
Bronson Lakeview Hospital | Paw paw, MI | Hospital |
Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
Bronson South Haven Hospital | South haven, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bronson Lakeview Hospital | 9032008495 | 43 |
Entity Name | Bronson Lakeview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
Mailing Address | Practice Location Address |
---|---|
Hariton Kousourou, MD 452 Health Parkway, Suite F, Paw Paw, MI 49079 Ph: (269) 655-3080 | Hariton Kousourou, MD 45 Route 25a, Suite C, Shoreham, NY 11786-1389 Ph: (631) 821-2626 |
Owen Yen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Route 25a, Suite C, Shoreham, NY 11786 Phone: 631-744-3303 | |
Richard Kubiak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Woodville Rd, Shoreham, NY 11786 Phone: 631-929-1256 Fax: 631-929-8313 | |
Eric Hoffmann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Route 25a, Suite C, Shoreham, NY 11786 Phone: 631-744-3303 Fax: 631-744-1627 |