Sang I Pak, MD | |
240 Meeting House Lane, Surgical Specialties Office, Southampton, NY 11968 | |
(631) 726-8717 | |
(631) 726-8720 |
Full Name | Sang I Pak |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 240 Meeting House Lane, Southampton, 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 |
---|---|---|---|
1689680019 | NPI | - | NPPES |
01925662 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 208286 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meeting House Lane Medical Practice Pc | 6800972589 | 97 |
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 |
---|---|
Sang I Pak, MD Po Box 5545, Hicksville, NY 11802-5545 Ph: (631) 283-2430 | Sang I Pak, MD 240 Meeting House Lane, Surgical Specialties Office, Southampton, NY 11968 Ph: (631) 726-8717 |
Lawrence J Tarasuk, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 Phone: 631-283-2100 Fax: 631-283-5731 | |
Dr. Dawn Marie Brown, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-0409 Fax: 631-726-0396 | |
Dr. Jeffrey Marc Sherwood, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 33 Flying Point Rd, Suite 123, Southampton, NY 11968 Phone: 631-287-9696 Fax: 631-726-9323 | |
Dr. Edna Kapenhas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8300 | |
Gurpreet Gill, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 676 County Road 39a, Southampton, NY 11968 Phone: 934-213-4970 Fax: 934-213-4971 | |
Dr. George D Keckeisen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 Meeting House Ln, Bldg #2, Southampton, NY 11968 Phone: 631-283-2100 Fax: 631-283-5731 |