| Dr Anna Lizza Lopez Siasoco, MD | |
|
415 Port Washington Blvd, Port Washington, NY 11050-4201 | |
| (516) 883-0218 | |
| (516) 767-0894 |
| Full Name | Dr Anna Lizza Lopez Siasoco |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 28 Years |
| Location | 415 Port Washington Blvd, Port Washington, 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 |
|---|---|---|---|
| 1386614428 | NPI | - | NPPES |
| 5C5341 | Other | NY | HEALTH NET OF NORTHEAST |
| 9412517 | Other | NY | PHCS |
| 3363P1 | Other | NY | EMPIRE BLUECROSS BLUESHIE |
| 5880458 | Other | NY | CIGNA |
| 5995775 | Other | NY | GHI |
| SA6459 | Other | NY | ATLANTIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 236459 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| 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 | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| 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 | Southwest Suffolk Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anna Lizza Lopez Siasoco, MD 415 Port Washington Blvd, Port Washington, NY 11050-4201 Ph: (516) 883-0218 | Dr Anna Lizza Lopez Siasoco, MD 415 Port Washington Blvd, Port Washington, NY 11050-4201 Ph: (516) 883-0218 |
Dr. Scott L Rex, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Bernard St, Port Washington, NY 11050 Phone: 516-467-4788 Fax: 516-467-4793 | |
Miss Danielle D Roberts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403-1 Main Street, Port Washington, NY 11040 Phone: 516-676-0200 | |
Yasmin Mohamed, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Main Street, Suite 202, Port Washington, NY 11050 Phone: 516-767-3161 | |
Dr. Raymond Webster, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Hampton Ct, Port Washington, NY 11050 Phone: 516-472-7077 Fax: 516-472-7078 | |
Dr. Gerald Zupnick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15 Hampton Rd, Port Washington, NY 11050 Phone: 516-439-8001 | |
Dr. Farzad Shokri-tabibzadeh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 South Maryland Avenue, Port Washington, NY 11050 Phone: 516-767-2576 Fax: 516-767-0312 |