Mr Joseph K Cavallo, MD | |
1500 Route 112 Bldg 6, Port Jefferson Station, NY 11776-8054 | |
(631) 732-9090 | |
(631) 732-8235 |
Full Name | Mr Joseph K Cavallo |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 41 Years |
Location | 1500 Route 112 Bldg 6, Port Jefferson Station, 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 |
---|---|---|---|
1932212354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 158971 (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 |
Entity Name | Prohealth Care Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph K Cavallo, MD 1500 Route 112, Bldg 6, Port Jeff Sta, NY 11776-8054 Ph: (631) 732-9090 | Mr Joseph K Cavallo, MD 1500 Route 112 Bldg 6, Port Jefferson Station, NY 11776-8054 Ph: (631) 732-9090 |
Dr. Michael Howard Winston, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Dr, Suite A, Port Jefferson Station, NY 11776 Phone: 631-928-1555 Fax: 631-928-1570 | |
Jacqueline Sherry Fern, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Dr, Suite A, Port Jefferson Station, NY 11776 Phone: 631-928-1555 Fax: 631-928-1570 | |
Dr. Adam Joseph Korzenko, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6 Medical Drive, Port Jefferson Professional Park, Suite D, Port Jefferson Station, NY 11776 Phone: 631-928-7922 Fax: 631-928-9246 | |
Dr. Peter A Klein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6 Medical Dr, Suite D, Port Jefferson Station, NY 11776 Phone: 631-928-7922 Fax: 631-928-9246 |