Professional Limited Liability Corp. in Southold, NY

Professional Limited Liability Corp. is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Southold, New York. The current practice location for Professional Limited Liability Corp. is 50 Ackerly Pond Lane, Southold, New York. For appointments, you can reach them via phone at (631) 765-1414. The mailing address for Professional Limited Liability Corp. is Po Box 1437, Southold, New York and phone number is (631) 765-1414.

Professional Limited Liability Corp. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851367304. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 765-1414.

Contact Information

	Professional Limited Liability Corp.
	50 Ackerly Pond Lane Southold NY 11971-3005
	(631) 765-1414
	(631) 765-1428

Map and Direction

Primary Care Clinic Profile

Full Name	Professional Limited Liability Corp.
Speciality	Internal Medicine
Location	50 Ackerly Pond Lane, Southold, New York
Authorized Official Name and Position	Jay P Slotkin (PRESIDENT)
Authorized Official Contact	6317651414
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Professional Limited Liability Corp. Po Box 1437 Southold NY 11971-0938 Ph: (631) 765-1414	Professional Limited Liability Corp. 50 Ackerly Pond Lane Southold NY 11971-3005 Ph: (631) 765-1414

NPI Details:

NPI Number	1851367304
Provider Enumeration Date	02/24/2006
Last Update Date	07/03/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	9638131964
Medicare Enrollment ID	O20041029000445

Medical Identifiers

Medical identifiers for Professional Limited Liability Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851367304	NPI	-	NPPES
DD8034	Other	NY	RAIL ROAD MEDICARE
02632497	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	(* (Not Available))	Primary
363AM0700X	Physician Assistant - Medical	23013867 (New York)	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Professional Limited Liability Corp. acts as a billing entity for following providers:

Provider Name	Jay Philip Slotkin
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1780650226 PECOS PAC ID: 2365432093 Enrollment ID: I20040514000967

Reviews and Comments

Internal Medicine in Southold, NY

Medical House Calls Of The North Fork, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 Fax: 631-477-6219
East End Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44210 County Rd. 48, Southold, NY 11971 Phone: 631-765-4150 Fax: 631-765-4688

Professional Limited Liability Corp. - Medicare Primary Care in Southold, NY