Sue Mentis, DO is a
Anesthesiology physician based in Port Jefferson Station, New York. Sue Mentis is licensed to practice in New York (license number 209011) and her current practice location is 1500 Ny-112, Port Jefferson Station, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 828-3400.
NPI number for Sue Mentis is 1679579585 and her current mailing address is 68 S Service Rd, Suite 350, Melville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679579585.
Physician's Profile
| Full Name | Sue Mentis |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 1500 Ny-112, Port Jefferson Station, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679579585
- Provider Enumeration Date: 06/24/2005
- Last Update Date: 03/31/2015
Medical Identifiers
Medical identifiers for Sue Mentis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679579585 | NPI | - | NPPES |
| 01870800 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 209011 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sue Mentis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sue Mentis, DO
68 S Service Rd, Suite 350,
Melville, NY 11747-2354
Ph: (516) 945-3000 | Sue Mentis, DO
1500 Ny-112,
Port Jefferson Station, NY 11776-4515
Ph: (631) 828-3400 |
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