John Gregg Petraco, MD | |
118 N Country Rd, Port Jefferson, NY 11777-2120 | |
(631) 471-7171 | |
(631) 473-4605 |
Full Name | John Gregg Petraco |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 33 Years |
Location | 118 N Country Rd, Port Jefferson, 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 |
---|---|---|---|
1497739064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 194289 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
Long Island Community Hospital | Patchogue, NY | Hospital |
North Shore University Hospital | Manhasset, NY | Hospital |
Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Hematology Oncology Associates Pc | 1456243641 | 344 |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Entity Name | North Shore Hematology Oncology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Mailing Address | Practice Location Address |
---|---|
John Gregg Petraco, MD 118 N Country Rd, Port Jefferson, NY 11777-2120 Ph: (631) 471-7171 | John Gregg Petraco, MD 118 N Country Rd, Port Jefferson, NY 11777-2120 Ph: (631) 471-7171 |
Amy Renee Richter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Steven Ira Ross, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 49 Crooked Oak Rd, Port Jefferson, NY 11777 Phone: 631-928-8686 | |
Anthony Mark Giammarino, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Lance Edwards, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Dennis Stephen Strittmatter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 118 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 | |
Stephen Golub, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 118 North Country Road, Port Jefferson, NY 11777 Phone: 631-473-7171 Fax: 631-473-4605 |