| Dr Eric Fethke, MD | |
|
212 Crystal Run Rd, Middletown, NY 10941-4009 | |
| (845) 703-7000 | |
| (845) 703-0160 |
| Full Name | Dr Eric Fethke |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 212 Crystal Run Rd, Middletown, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285600080 | NPI | - | NPPES |
| 01488665 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 195450 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Center For Discovery Inc | 1557250933 | 20 |
| Boston Children's Health Physicians Llp | 8325937014 | 63 |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Entity Name | The Center For Discovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275624694 PECOS PAC ID: 1557250933 Enrollment ID: O20040312001247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Fethke, MD 212 Crystal Run Rd, Middletown, NY 10941-4009 Ph: (845) 703-7000 | Dr Eric Fethke, MD 212 Crystal Run Rd, Middletown, NY 10941-4009 Ph: (845) 703-7000 |
William Anthony Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Midway Park Drive, Orange Pediatric Associates Pc, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Dr. Hartley S. Bancroft Ii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Midway Park Dr, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Dr. Steve Shah, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Maltese Dr, Middletown, NY 10940 Phone: 845-342-4774 | |
Kathleen Byrne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Pooja Chandra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7120 | |
Dr. Daniel Joseph Ohern, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Jill Hirsch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-796-5807 |