Jennifer Pothen, MD | |
1 Dakota Dr Ste 218, New Hyde Park, NY 11042-1136 | |
(516) 488-9700 | |
(516) 488-8826 |
Full Name | Jennifer Pothen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 19 Years |
Location | 1 Dakota Dr Ste 218, New Hyde Park, 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 |
---|---|---|---|
1255772307 | NPI | - | NPPES |
008046940 | Medicaid | CT | |
07530096 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 52266 (Connecticut) | Secondary |
207Q00000X | Family Medicine | 315296 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Medical Care Pc | 9931013240 | 961 |
Entity Name | Optum Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Pothen, MD 47 Town St, Norwich, CT 06360-2315 Ph: (860) 892-7042 | Jennifer Pothen, MD 1 Dakota Dr Ste 218, New Hyde Park, NY 11042-1136 Ph: (516) 488-9700 |
Yelena Pyatov, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27005 76th Ave, Department Of Pediatrics, New Hyde Park, NY 11040 Phone: 718-470-7700 | |
Claudine A Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042 Phone: 855-201-4988 | |
Amber Haq, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Dakota Dr, New Hyde Park, NY 11042 Phone: 516-622-6000 | |
Boahen Owusu Kwakye, AGNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042 Phone: 855-201-4988 | |
Martha Arden, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042 Phone: 347-882-1321 | |
Mrs. Adelina Fazilov, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Lakeville Rd, New Hyde Park, NY 11042 Phone: 516-487-9454 Fax: 516-487-2745 | |
Dr. Anam Sarfaraz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042 Phone: 516-354-1600 Fax: 516-941-4677 |