| 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 | New Jersey Orthopaedic Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821224429 PECOS PAC ID: 0345396156 Enrollment ID: O20090921000297 |
| Entity Name | Peak Medical & Wellness Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336994383 PECOS PAC ID: 5294176236 Enrollment ID: O20240508003037 |
| 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 |