| Dr Aretha Nanda Persaud-mancusi, MD | |
|
150 Broadhollow Rd Ste 311, Melville, NY 11747-4901 | |
| (631) 470-7915 | |
| (631) 470-7922 |
| Full Name | Dr Aretha Nanda Persaud-mancusi |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 150 Broadhollow Rd Ste 311, Melville, 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 |
|---|---|---|---|
| 1497861843 | NPI | - | NPPES |
| 5763A1 | Other | NY | BLUE CROSS AND BLUE SHIELD |
| P3715262 | Other | NY | OXFORD |
| PA8552 | Other | NY | ATLANTIS HEALTHCARE |
| 116432 | Other | NY | GHI |
| 1396247 | Other | NY | AETNA |
| 2387689 | Other | NY | UNITED HEALTHCARE |
| 349448P | Other | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 228552 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Persaud Medical, Pllc | 6608970397 | 2 |
| Entity Name | Persaud Medical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942329107 PECOS PAC ID: 6608970397 Enrollment ID: O20070406000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aretha Nanda Persaud-mancusi, MD 1010 Northern Blvd Ste 328, Great Neck, NY 11021-5329 Ph: (516) 233-2484 | Dr Aretha Nanda Persaud-mancusi, MD 150 Broadhollow Rd Ste 311, Melville, NY 11747-4901 Ph: (631) 470-7915 |
Ingrid Suhey Fuentes, Family Medicine Medicare: Medicare Enrolled Practice Location: 610 Broadhollow Rd, Melville, NY 11747 Phone: 631-483-5600 Fax: 631-390-1891 | |
Kelly Chin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Pinelawn Rd, Melville, NY 11747 Phone: 631-773-6706 | |
Dr. Philip E Benanti, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 65 Wilmington Dr, Melville, NY 11747 Phone: 516-428-8029 Fax: 718-996-5338 | |
Oneika Newton, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8 Corporate Center Dr, Melville, NY 11747 Phone: 631-902-9505 | |
Dr. Nabil F Eldeiry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 East Old Neck Rd, Melville, NY 11747 Phone: 631-662-9586 | |
Dr. Ralph Levy, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 748 Verona Dr, Melville, NY 11747 Phone: 561-637-0078 |