| Dr Corinne Brooke Vidulich, MD | |
|
271 Route 25a Ste 2, Wading River, NY 11792-2014 | |
| (631) 727-4950 | |
| Not Available |
| Full Name | Dr Corinne Brooke Vidulich |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 271 Route 25a Ste 2, Wading River, 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 |
|---|---|---|---|
| 1225491772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 301007-01 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Planned Parenthood Hudson Peconic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285701672 PECOS PAC ID: 8921376138 Enrollment ID: O20170612002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corinne Brooke Vidulich, MD 37 Front St Apt 5, Greenport, NY 11944-1639 Ph: (917) 655-1312 | Dr Corinne Brooke Vidulich, MD 271 Route 25a Ste 2, Wading River, NY 11792-2014 Ph: (631) 727-4950 |
Dr. Mahendra G. Shah, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1866 Wading River Manor Road, Wading River, NY 11792 Phone: 631-929-8787 Fax: 631-929-0350 | |
Dr. Anne Valerie Nienstedt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 67 Karen Court, Wading River, NY 11792 Phone: 631-953-7719 Fax: 631-201-2045 | |
Ms. Barbara Joan Davis, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6144 Route 25a, Wading River, NY 11792 Phone: 631-929-1256 Fax: 631-929-8313 |