Skope Medical Care P.c. is a medicare enrolled primary clinic (Internal Medicine) in Wyandanch, New York. The current practice location for Skope Medical Care P.c. is 1537 Straight Path, Ste 102, Wyandanch, New York. For appointments, you can reach them via phone at
(631) 253-0270. The mailing address for Skope Medical Care P.c. is 1537 Straight Path, Ste 102, Wyandanch, New York and phone number is (631) 253-0270.
Skope Medical Care P.c. is licensed to practice in New York (license number 211159). The clinic also participates in the medicare program and its
NPI number is 1356420715. 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) 253-0270.
Primary Care Clinic Profile
Full Name | Skope Medical Care P.c. |
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Speciality | Internal Medicine |
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Location | 1537 Straight Path, Wyandanch, New York |
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Authorized Official Name and Position | Data Longjohn (PRESIDENT) |
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Authorized Official Contact | 6312530270 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Skope Medical Care P.c. 1537 Straight Path Ste 102 Wyandanch NY 11798-3414 Ph: (631) 253-0270 | Skope Medical Care P.c. 1537 Straight Path Ste 102 Wyandanch NY 11798-3414 Ph: (631) 253-0270 |
NPI Details:
NPI Number | 1356420715 |
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Provider Enumeration Date | 11/04/2006 |
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Last Update Date | 08/22/2020 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 2062498975 |
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Medicare Enrollment ID | O20040706000806 |
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Medical Identifiers
Medical identifiers for Skope Medical Care P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356420715 | NPI | - | NPPES |
01889129 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 211159 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Skope Medical Care P.c. acts as a billing entity for following providers:
Provider Name | Data G Longjohn |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1215075882 PECOS PAC ID: 4082503479 Enrollment ID: I20040312001315 |
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