| Dr Brian K Mcnulty, MD | |
|
504 Montauk Hwy Ste B, Center Moriches, NY 11934-2232 | |
| (631) 878-2222 | |
| (631) 878-4129 |
| Full Name | Dr Brian K Mcnulty |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 504 Montauk Hwy Ste B, Center Moriches, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528047271 | NPI | - | NPPES |
| 02848319 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2378421 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tender Loving Care, An Amedisys Company | Medford, NY | Home health agency |
| Peconic Bay Homehealth Services | Riverhead, NY | Home health agency |
| Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
| Nyu Langone Health Home Care | Mineola, NY | Home health agency |
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peconic Bay Primary Medical Care | 7113817602 | 71 |
| Entity Name | Peconic Bay Primary Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian K Mcnulty, MD 504 Montauk Hwy Ste B, Center Moriches, NY 11934-2232 Ph: (631) 878-2222 | Dr Brian K Mcnulty, MD 504 Montauk Hwy Ste B, Center Moriches, NY 11934-2232 Ph: (631) 878-2222 |
Josephine Marie Champlin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Montauk Hwy Ste B, Center Moriches, NY 11934 Phone: 631-878-2222 |