Susan K Boolbol, MD | |
45 Reade Pl, Poughkeepsie, NY 12601-3947 | |
(845) 214-1837 | |
Not Available |
Full Name | Susan K Boolbol |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 30 Years |
Location | 45 Reade Pl, Poughkeepsie, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154305720 | NPI | - | NPPES |
02169877 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 67054 (Connecticut) | Secondary |
208600000X | Surgery | 2101701 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nuvance Health Medical Practice, Pc | 1658468442 | 457 |
Entity Name | Nuvance Health Medical Practice, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770823551 PECOS PAC ID: 2264691070 Enrollment ID: O20131220001018 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104295716 PECOS PAC ID: 4486955267 Enrollment ID: O20151221001450 |
Mailing Address | Practice Location Address |
---|---|
Susan K Boolbol, MD 21 Reade Pl Ste 2100, Poughkeepsie, NY 12601-3968 Ph: (845) 214-1837 | Susan K Boolbol, MD 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 214-1837 |
Dr. Herminio Diaz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601 Phone: 845-483-5000 | |
Cheng Ng, MD Surgery Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-790-1317 | |
Mark K Hirko, MD Surgery Medicare: Medicare Enrolled Practice Location: 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601 Phone: 845-214-1800 | |
Dr. Joseph J Fulton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-5934 | |
Gabi Barmettler, MD Surgery Medicare: Medicare Enrolled Practice Location: 21 Reade Pl Ste 2100, Poughkeepsie, NY 12601 Phone: 845-214-1840 | |
Dr. Michael Llewellyn Ormont, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Fox St Ste 104, Poughkeepsie, NY 12601 Phone: 845-431-2400 |