| David Tin Chu, MD | |
|
49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | |
| (631) 751-3000 | |
| (631) 675-2001 |
| Full Name | David Tin Chu |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 22 Years |
| Location | 49 Nesconset Hwy, Port Jefferson Station, 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 |
|---|---|---|---|
| 1750585287 | NPI | - | NPPES |
| 03094680 | Medicaid | NY | |
| 11303 | Other | NY | MAGNACARE |
| 7C2423 | Other | NY | HEALTHNET |
| 014CE1 | Other | NY | BLUE SHIELD |
| 250808-A10 | Other | NY | HEALTHFIRST |
| 8259306 | Other | NY | CIGNA |
| 091202000087 | Other | NY | FIDELIS CARE OF NY |
| P00750946 | Other | NY | RR MEDICARE |
| P4082661 | Other | NY | OXFORD |
| 201009000016 | Other | NY | AFFINITY |
| 4584734 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 250808 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Hematology Oncology Associates Pc | 1456243641 | 411 |
| Entity Name | North Shore Hematology Oncology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Mailing Address | Practice Location Address |
|---|---|
| David Tin Chu, MD 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 Ph: (631) 751-3000 | David Tin Chu, MD 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 Ph: (631) 751-3000 |
Dr. Michael W Mendelson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Matias M Dcosta, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
Kinjal Amit Gosalia, STUDENT Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506 | |
Zarlasht Khan, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840 | |
Anil Sangwan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427 | |
Anish Desai, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119 | |
Peter Ottavio, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4115 |