| Dr Jacob Detlef Sokol, MD | |
|
75 N Country Rd, Port Jefferson, NY 11777-2119 | |
| (631) 473-1320 | |
| (631) 473-1320 |
| Full Name | Dr Jacob Detlef Sokol |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 75 N Country Rd, Port Jefferson, 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 |
|---|---|---|---|
| 1245221167 | NPI | - | NPPES |
| 01507666 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 150642 (New York) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Detlef Sokol, MD 625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316 Ph: (631) 473-1320 | Dr Jacob Detlef Sokol, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320 |
Jay M Barbakoff, MD Geriatric 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. Geriatric 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 Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Arain Mohammad Nawaz, MD Geriatric 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. Geriatric 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. Geriatric 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. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Anchorage Rd, Port Jefferson, NY 11777 Phone: 631-331-4887 |