| Dr Michael Wagih Awadallah, DDS, MD | |
|
17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 | |
| (718) 670-1060 | |
| (718) 357-0194 |
| Full Name | Dr Michael Wagih Awadallah |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 13 Years |
| Location | 17411 Horace Harding Expy, Fresh Meadows, 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 |
|---|---|---|---|
| 1205273117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 058715 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Wagih Awadallah, DDS, MD 525 E 68th St Fl 24, New York, NY 10065-4870 Ph: (212) 746-4180 | Dr Michael Wagih Awadallah, DDS, MD 17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 Ph: (718) 670-1060 |
Dr. Kavin Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18801 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-454-4444 | |
Dr. Jeffrey Ng, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18801 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-454-4444 | |
Artur Bababekov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16814 77th Rd, Fresh Meadows, NY 11366 Phone: 917-498-5545 | |
Dr. William Phillip Gross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6532 170th St, Fresh Meadows, NY 11365 Phone: 718-358-5456 Fax: 718-358-5456 | |
Dr. George Jordan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18505 Booth Memorial Ave, Fresh Meadows, NY 11365 Phone: 718-357-5332 Fax: 718-357-5757 | |
Dr. John Joseph Costandi, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17411 Horace Harding Expy, Fresh Meadows, NY 11365 Phone: 718-670-1060 |