| Diane M Clausen, MD | |
|
235 N Belle Mead Rd, E Setauket, NY 11733-3456 | |
| (631) 751-3000 | |
| (631) 675-2001 |
| Full Name | Diane M Clausen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 235 N Belle Mead Rd, E Setauket, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447256995 | NPI | - | NPPES |
| 01681621 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 186523 (New York) | Primary |
| Entity Name | Good Shepherd Hospice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992131635 PECOS PAC ID: 1759281843 Enrollment ID: O20160120002079 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Clausen, MD 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 Ph: (631) 751-3000 | Diane M Clausen, MD 235 N Belle Mead Rd, E Setauket, NY 11733-3456 Ph: (631) 751-3000 |
Dr. Allen Jeremias, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 26 Research Way, E Setauket, NY 11733 Phone: 631-444-0580 | |
Michael E Theodorakis, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-751-3366 | |
Edward T Samuel, MD, PHD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-751-3366 | |
Gurmohan Syali, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-751-3366 |