Mark L Defazio, MD | |
1301 82nd St, Brooklyn, NY 11228 | |
(718) 836-3721 | |
(718) 259-6567 |
Full Name | Mark L Defazio |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 38 Years |
Location | 1301 82nd St, Brooklyn, 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 |
---|---|---|---|
1073586343 | NPI | - | NPPES |
01223358 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 178425 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
De Fazio Obstetrics And Gynecology Pc | 6608001763 | 3 |
Entity Name | Park Slope Obstetrics & Gynecology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487604963 PECOS PAC ID: 5395637151 Enrollment ID: O20040326000415 |
Entity Name | De Fazio Obstetrics & Gynecology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447594916 PECOS PAC ID: 6608001763 Enrollment ID: O20131025000195 |
Entity Name | Kings Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175 |
Mailing Address | Practice Location Address |
---|---|
Mark L Defazio, MD 1301 82nd St, Box 26, Brooklyn, NY 11228 Ph: (718) 836-3721 | Mark L Defazio, MD 1301 82nd St, Brooklyn, NY 11228 Ph: (718) 836-3721 |
Allix Megan Hillebrand, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219 Phone: 718-283-8000 | |
Matthew Silverman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5925 15th Ave, Brooklyn, NY 11219 Phone: 718-972-2700 Fax: 718-972-2701 | |
Viktoriya Bakcheva, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1599 West 6 Street, Brooklyn, NY 11204 Phone: 718-360-5014 Fax: 718-360-2314 | |
Mary Fatehi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 97 Amity St Fl 3, Obgyn Associates At Lich, Brooklyn, NY 11201 Phone: 718-780-1231 Fax: 718-780-4987 | |
Dr. Bala Krishna Babji Ravi, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 374 Stockholm St, C/o Faculty Practice, Brooklyn, NY 11237 Phone: 718-963-6551 Fax: 718-963-6793 | |
Dr. Ling Zhu, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 730 58th St, Brooklyn, NY 11220 Phone: 347-382-0338 | |
Dr. Nikolaos Kiouranakis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1012 Avenue Y, Brooklyn, NY 11235 Phone: 718-879-8877 Fax: 718-879-8866 |