Pedro J Roque, MD | |
5 Wicks Road, Suite 1a, Brentwood, NY 11717-3508 | |
(631) 435-2133 | |
(631) 435-4365 |
Full Name | Pedro J Roque |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 5 Wicks Road, Brentwood, 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 |
---|---|---|---|
1275617987 | NPI | - | NPPES |
00891974 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 157218 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Partnercare Physicians Pllc | 9638593585 | 22 |
Entity Name | Pedro J Roque Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689730756 PECOS PAC ID: 1850421975 Enrollment ID: O20100615000859 |
Entity Name | Primary Partnercare Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891318168 PECOS PAC ID: 9638593585 Enrollment ID: O20200723003709 |
Mailing Address | Practice Location Address |
---|---|
Pedro J Roque, MD 5 Wicks Road, Suite 1a, Brentwood, NY 11717-3508 Ph: (631) 435-2133 | Pedro J Roque, MD 5 Wicks Road, Suite 1a, Brentwood, NY 11717-3508 Ph: (631) 435-2133 |
Dr. Daniel C Korman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1646 Brentwood Rd, Brentwood, NY 11717 Phone: 631-231-5200 Fax: 631-231-4431 | |
Dr. Scott Alan Roteman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1646 Brentwood Rd, Brentwood, NY 11717 Phone: 631-231-5200 Fax: 631-231-4431 | |
Devendra Kaur Gill, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1556 Islip Ave, Brentwood, NY 11717 Phone: 631-582-5325 Fax: 631-234-3635 | |
Dr. Vasudeo V Mone, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Pilgrim Psychiatric Center, Brentwood, NY 11717 Phone: 631-761-3500 Fax: 631-761-2815 | |
Dr. Vincent Richard Leddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 | |
Dr. Richard John Valinotti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 |