Ms Lisa Jean Mamakos, MD | |
147 Beach Rd Ste A, Westhampton Beach, NY 11978 | |
(631) 288-7746 | |
(631) 288-7111 |
Full Name | Ms Lisa Jean Mamakos |
---|---|
Gender | Female |
Speciality | Family Medicine - Geriatric Medicine |
Location | 147 Beach Rd Ste A, Westhampton Beach, 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 |
---|---|---|---|
1619265584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 282828 (New York) | Primary |
Entity Name | Meeting House Lane Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Jean Mamakos, MD 147 Beach Rd Ste A, Westhampton Beach, NY 11978-1733 Ph: (631) 288-7746 | Ms Lisa Jean Mamakos, MD 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Ph: (631) 288-7746 |
Mia Laurel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Phone: 631-288-7746 | |
Liana R Yoder-hegde, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Old Riverhead Rd, Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Dr. Daniel M Vanarsdale, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Old Riverhead Rd, Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Devan Trammel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd Ste A, Westhampton Beach, NY 11978 Phone: 631-288-7746 | |
Carelle Akilah Cherebin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd (at Montauk Highway), Westhampton Beach, NY 11978 Phone: 631-288-7746 Fax: 631-288-7111 | |
Joshua Potter, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Beach Rd, Westhampton Beach, NY 11978 Phone: 631-288-7746 |