Dr Jason Everett Kooch, DO | |
115 Eileen Way, Syosset, NY 11791-5323 | |
(516) 795-3033 | |
Not Available |
Full Name | Dr Jason Everett Kooch |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 115 Eileen Way, Syosset, 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 |
---|---|---|---|
1902804347 | NPI | - | NPPES |
50044478 | Other | KEYSTONE HEALTH CENTRAL | |
6432850 | Other | CIGNA HEALTHCARE | |
2170526 | Other | MAMSI | |
2299715000 | Other | INDEPENDENCE BLUE CROSS | |
50044478 | Other | CAPITAL BLUE CROSS | |
2299715000 | Other | AMERIHEALTH | |
397414 | Other | HEALTH AMERICA/HEALTH ASS | |
821131 | Other | FIRST PRIORITY HEALTH | |
1622793 | Other | HIGHMARK BLUE SHIELD | |
2299715000 | Other | KEYSTONE HEALTH EAST | |
7466584 | Other | AETNA PPO | |
90338 | Other | GEISINGER HEALTH PLAN | |
P3356842 | Other | OXFORD HEALTH PLANS | |
1011608520001 | Medicaid | PA | |
2458473 | Other | UNITED HEALTHCARE | |
P00230776 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | OS013001 (Pennsylvania) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 326507 (New York) | Primary |
Entity Name | Advanced Medical And Rehab Of Williamsport Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023457058 PECOS PAC ID: 8022250844 Enrollment ID: O20130807000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Everett Kooch, DO 115 Eileen Way, Syosset, NY 11791-5323 Ph: (516) 795-3033 | Dr Jason Everett Kooch, DO 115 Eileen Way, Syosset, NY 11791-5323 Ph: (516) 795-3033 |
Dr. Rebecca Fishman, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18 Jackson Ave, Ste 3, Syosset, NY 11791 Phone: 516-544-2100 | |
Dr. Jerry Thomas, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 150 Eileen Way Unit 1, Syosset, NY 11791 Phone: 516-855-5255 | |
Teresa Bianchi, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 575 Underhill Blvd Ste 200, Syosset, NY 11791 Phone: 516-622-6105 |