| Dr Gary Blaine Loden, MD | |
|
1200 Route 300, Newburgh, NY 12550-5003 | |
| (845) 703-6999 | |
| (845) 703-6297 |
| Full Name | Dr Gary Blaine Loden |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 1200 Route 300, Newburgh, 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 |
|---|---|---|---|
| 1598771529 | NPI | - | NPPES |
| 02607129 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 230013 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Cornwall Hospital | Newburgh, NY | Hospital |
| Garnet Health Medical Center | Middletown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Run Healthcare Physicians Llp | 6901792696 | 350 |
| Entity Name | Crystal Run Healthcare Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Blaine Loden, MD 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Dr Gary Blaine Loden, MD 1200 Route 300, Newburgh, NY 12550-5003 Ph: (845) 703-6999 |
Yu-kuan Lin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Stony Brook Ct, Newburgh, NY 12550 Phone: 845-437-5000 | |
Charles Nathan Walker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 Route 300, Newburgh, NY 12550 Phone: 845-703-6999 Fax: 845-703-6297 | |
Paul A Pomerantz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Stony Brook Ct, Newburgh, NY 12550 Phone: 845-437-5000 Fax: 845-863-0426 |