| Douglas Heller, MD | |
|
1561 Route 9w, Lake Katrine, NY 12449-5410 | |
| (845) 231-5600 | |
| (845) 202-6005 |
| Full Name | Douglas Heller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1561 Route 9w, Lake Katrine, 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 |
|---|---|---|---|
| 1891759056 | NPI | - | NPPES |
| 01269938 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1822401 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Heller, MD 110 S Bedford Rd, Caremount Medical Pc, Mount Kisco, NY 10549-3446 Ph: (914) 241-1050 | Douglas Heller, MD 1561 Route 9w, Lake Katrine, NY 12449-5410 Ph: (845) 231-5600 |
Olubunmi Abigail Olojede, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Grant Ave, Lake Katrine, NY 12449 Phone: 845-336-3500 | |
Ololade Omitogun, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 Grant Ave, Lake Katrine, NY 12449 Phone: 718-709-0940 | |
Manjyot K Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Grant Ave, Lake Katrine, NY 12449 Phone: 646-283-7743 |