Peter Kenneth Dittmar, MD | |
8268 164th St, Jamaica, NY 11432-1121 | |
(718) 883-3225 | |
(718) 883-6193 |
Full Name | Peter Kenneth Dittmar |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 8268 164th St, Jamaica, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699852236 | NPI | - | NPPES |
00246075 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 226623 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Montefiore Medical Center | Bronx, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montefiore Medical Center | 3779496021 | 2071 |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
---|---|
Peter Kenneth Dittmar, MD 7901 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 Ph: (718) 334-1921 | Peter Kenneth Dittmar, MD 8268 164th St, Jamaica, NY 11432-1121 Ph: (718) 883-3225 |
Dr. Chetankumar Patel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Dr. Elbert Ching, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 917-584-0819 | |
Dr. Maria Teresa Lechuga, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Dr. Sergey Galustyan, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Dr. Revanord Pierre-louis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15211 89th Ave, Jamaica, NY 11432 Phone: 212-563-2497 Fax: 212-563-0605 | |
Amanda Chan, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St Ste 1b02, Jamaica, NY 11432 Phone: 718-883-3070 | |
Alfredo Wong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15211 89th Ave, Rm.#5100, Jamaica, NY 11432 Phone: 212-533-1701 |