| Dr Charles C Kwak, MD | |
|
4012 80th St, Elmhurst, NY 11373-1234 | |
| (718) 886-9000 | |
| Not Available |
| Full Name | Dr Charles C Kwak |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 4012 80th St, Elmhurst, 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 |
|---|---|---|---|
| 1548270218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 218069 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Healthcare Inc | 1254233158 | 53 |
| Metro Dermatology Of Ny,p.c. | 3779761705 | 17 |
| Entity Name | Premier Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144 |
| Entity Name | Metro Dermatology Of Ny,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336343268 PECOS PAC ID: 3779761705 Enrollment ID: O20110622000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles C Kwak, MD 4012 80th St, Elmhurst, NY 11373-1234 Ph: (718) 886-9000 | Dr Charles C Kwak, MD 4012 80th St, Elmhurst, NY 11373-1234 Ph: (718) 886-9000 |
Marie Claire Leger, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4012 80th St, Elmhurst, NY 11373 Phone: 718-886-9000 Fax: 718-961-0666 | |
Huachen Wei, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 8516 Queens Blvd Fl 1, Elmhurst, NY 11373 Phone: 718-457-0002 Fax: 718-457-0700 | |
Dr. Martin Wininger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8037 Broadway, Elmhurst, NY 11373 Phone: 718-898-8600 Fax: 718-898-8704 | |
Dr. Julia Wu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000 | |
Adalme Pena, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4037 74th St, Elmhurst, NY 11373 Phone: 718-651-7000 | |
Michael Ezra Berry, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4037 74th St, Elmhurst, NY 11373 Phone: 718-651-7000 Fax: 718-606-8966 |