| Christopher M Shackles, DO, MPH | |
|
Stony Brook University Hospital, 101 Nichols Road, Stony Brook, NY 11794-0001 | |
| (631) 444-1791 | |
| (631) 444-7689 |
| Full Name | Christopher M Shackles |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 11 Years |
| Location | Stony Brook University Hospital, Stony Brook, 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 |
|---|---|---|---|
| 1124448741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 306058-01 (New York) | Primary |
| 208600000X | Surgery | 946244 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Radiology, University Faculty Practice Corporation | 4587555198 | 61 |
| Entity Name | Stony Brook Radiology, University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366497448 PECOS PAC ID: 4587555198 Enrollment ID: O20040323001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher M Shackles, DO, MPH 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 444-5400 | Christopher M Shackles, DO, MPH Stony Brook University Hospital, 101 Nichols Road, Stony Brook, NY 11794-0001 Ph: (631) 444-1791 |
Dr. Avraham Bluestone, MD,PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Radiology, Hsc L4, Room 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538 | |
Kathleen Marie Finzel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd Rm 120, Health Science Center Leve 4 8460, Stony Brook, NY 11794 Phone: 631-444-5400 | |
Dr. Corazon Cabahug, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: University Hospital At Stony Brook, Level 4, Stony Brook, NY 11794 Phone: 631-444-6919 | |
Mingqian Huang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Nicolls Road And Health Sciences, Hsc Level 4 Room 120, Stony Brook, NY 11794 Phone: 631-444-7955 | |
Dr. Daichi Hayashi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology Stony Brook Medicine, Stony Brook, NY 11794 Phone: 631-444-2484 Fax: 631-444-7538 | |
Dr. Punit Chhaganlal Aghera, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Hsc L4 Rm 120, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538 | |
Charles Jonathan Lugo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-5400 Fax: 631-444-7538 |