Michael Fano, FNP | |
105 - 04 Sutphin Blvd, Jamaica, NY 11432 | |
(855) 681-8700 | |
(718) 943-6788 |
Full Name | Michael Fano |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 105 - 04 Sutphin Blvd, Jamaica, 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 |
---|---|---|---|
1740394204 | NPI | - | NPPES |
LICENSE NUMBER | Other | NY | 332757 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 332757 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sun River Health Inc. | 6608783568 | 157 |
Entity Name | Sun River Health Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Entity Name | Brightpoint Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003093436 PECOS PAC ID: 6800951989 Enrollment ID: O20090225000068 |
Mailing Address | Practice Location Address |
---|---|
Michael Fano, FNP 105 - 04 Sutphin Blvd, Jamaica, NY 11435 Ph: (718) 725-5000 | Michael Fano, FNP 105 - 04 Sutphin Blvd, Jamaica, NY 11432 Ph: (855) 681-8700 |
Mary Clancy, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418 Phone: 718-206-6000 | |
Miss Carol M Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18716 Hillside Ave, Jamaica, NY 11432 Phone: 718-206-1288 Fax: 718-206-1289 | |
Mrs. Emilia Ureh Nwachukwu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14442 175th St, Jamaica, NY 11434 Phone: 718-525-7845 | |
Obioma Onah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21726 106th Ave, Jamaica, NY 11429 Phone: 347-393-5187 | |
Ms. Aliyamma Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82-68 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Immacula Samson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3226 | |
Jessica Obidimalor, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165-17 145th Road, Jamaica, NY 11434 Phone: 347-570-5153 |