Jessica Sara Miller Mantell, DO | |
101 Nicolls Rd, Stony Brook, NY 11794-0001 | |
(631) 444-5437 | |
Not Available |
Full Name | Jessica Sara Miller Mantell |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 101 Nicolls Rd, Stony Brook, 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 |
---|---|---|---|
1689051401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 293180 (New York) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 293180 (New York) | Primary |
Entity Name | Rwjbh Observation Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Mailing Address | Practice Location Address |
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Jessica Sara Miller Mantell, DO 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: () - | Jessica Sara Miller Mantell, DO 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 444-5437 |
Dr. Mireya Garcia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-3429 | |
Dr. Jason Halegoua, PHD, MD, MBA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Hallock Rd Ste 106, Stony Brook, NY 11790 Phone: 631-675-9777 Fax: 631-675-9778 | |
Dr. Christy Anne Beneri, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Hsc Suny Stony Brook, Department Of Pediatrics Hsc T-11, Stony Brook, NY 11794 Phone: 631-444-7992 Fax: 631-444-7292 | |
Brittani Elisse Campelo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd Rm 40, Stony Brook, NY 11794 Phone: 631-444-2020 Fax: 631-444-2894 | |
Pianpian Wu, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-5437 | |
Brittani Rose Mannix, NNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2000 | |
Kathleen Doobinin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Department Of Pediatrics, Hsc T-11-020, Stony Brook, NY 11794 Phone: 631-444-2710 |