| Dr Glen Thomas Granati, MD | |
|
Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 | |
| (631) 473-1320 | |
| Not Available |
| Full Name | Dr Glen Thomas Granati |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | Mather Hospital, 75 N Country Rd, Port Jefferson, 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 |
|---|---|---|---|
| 1467872739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 302485 (New York) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 302485 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmhurst Hospital Center | Elmhurst, NY | Hospital |
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John T Mather Memorial Hospital | 1254237753 | 150 |
| Icahn School Of Medicine At Mount Sinai | 8224282926 | 298 |
| Entity Name | John T Mather Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376642371 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754 |
| 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 | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen Thomas Granati, MD Mather Hospital, 75 North Country Rd, Intensivist Department, Port Jefferson, NY 11777 Ph: (631) 473-1320 | Dr Glen Thomas Granati, MD Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 Ph: (631) 473-1320 |
Jay M Barbakoff, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 North Country Rd, Suite 203, Port Jefferson, NY 11777 Phone: 631-928-3444 Fax: 877-434-7939 | |
Dr. William L. Taibi, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 710 Main St, Port Jefferson, NY 11777 Phone: 631-474-4000 Fax: 631-474-4011 | |
Dr. Iryna Ilyasova, M.D Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Arain Mohammad Nawaz, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Belle Terre Rd, Suite 1, Port Jefferson, NY 11777 Phone: 631-928-0240 Fax: 631-928-0855 | |
Joan C Faro, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2866 Fax: 631-476-2874 | |
Dr. Mark J. Kropf, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Road, Suite 100, Port Jefferson, NY 11777 Phone: 631-331-6090 Fax: 631-474-7855 | |
Mr. Ismael V. David, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Anchorage Rd, Port Jefferson, NY 11777 Phone: 631-331-4887 |