| Derrece K Reid, MD | |
|
1175 Montauk Highway, Suite 6, West Islip, NY 11795-4939 | |
| (833) 744-6333 | |
| (516) 433-1036 |
| Full Name | Derrece K Reid |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 15 Years |
| Location | 1175 Montauk Highway, Suite 6, West Islip, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457662256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT198306 (Pennsylvania) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 279921 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Hospital | Port jefferson, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 618 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrece K Reid, MD Po Box 100, West Islip, NY 11795-4939 Ph: (833) 774-6333 | Derrece K Reid, MD 1175 Montauk Highway, Suite 6, West Islip, NY 11795-4939 Ph: (833) 744-6333 |
Taner A Aydin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 500 Montauk Hwy Ste S, West Islip, NY 11795 Phone: 631-707-3780 Fax: 631-203-2071 | |
Dr. Michael Nemytov, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1175 Montauk Hwy Ste 3, West Islip, NY 11795 Phone: 631-500-9400 | |
Dr. Louis K Teitelbaum, M.D., L. F.A.P.A. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Pansmith Ln, West Islip, NY 11795 Phone: 631-210-7300 Fax: 516-877-2038 |