| Dr Ernst Raeder, MD | |
|
3001 Expressway Drive North, Islandia, NY 11749 | |
| (631) 444-9600 | |
| Not Available |
| Full Name | Dr Ernst Raeder |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3001 Expressway Drive North, Islandia, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538186002 | NPI | - | NPPES |
| 96D54 | Other | NY | EMPIRE BC.BS |
| 0108946 | Medicaid | NY | |
| 4584863 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 170127 (New York) | Primary |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ernst Raeder, MD P.o. Box 1559, Stony Brook, NY 11790 Ph: (631) 444-9600 | Dr Ernst Raeder, MD 3001 Expressway Drive North, Islandia, NY 11749 Ph: (631) 444-9600 |
Dr. William E Lawson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Hal Skopicki, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Kathleen Stergiopoulos, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-1069 | |
Mr. Howard Novotny, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Eric Rashba, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-444-9600 | |
Dr. Jordan Katz, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Islandia, NY 11749 Phone: 631-444-9600 |