Kweon Stambaugh, MD | |
155 Crystal Run Rd, Middletown, NY 10941-4028 | |
(845) 703-6999 | |
(845) 703-6297 |
Full Name | Kweon Stambaugh |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 47 Years |
Location | 155 Crystal Run Rd, Middletown, 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 |
---|---|---|---|
1063494185 | NPI | - | NPPES |
02660066 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 147259 (New York) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 147259 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Blessing Corporate Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Kweon Stambaugh, MD 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Kweon Stambaugh, MD 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 |
Mark S Driver, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941 Phone: 845-467-6998 Fax: 845-692-0675 | |
Dr. Sergey Koyfman, D. O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941 Phone: 845-467-6998 Fax: 845-692-0675 | |
Dr. Phillip Langston Massengill, M. D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941 Phone: 845-467-6998 Fax: 845-692-0675 | |
Virginia Ellen Feldman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941 Phone: 845-467-6998 Fax: 845-692-0675 | |
Dr. Louis George Petcu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Crystal Run Rd Ste 220, Middletown, NY 10941 Phone: 845-467-6998 Fax: 845-692-0675 | |
Lissette Giraud, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 |