| Dr Jorge Martin Espana, MD | |
|
5 Grace Church St, Port Chester, NY 10573-4911 | |
| (914) 937-8899 | |
| (914) 937-7932 |
| Full Name | Dr Jorge Martin Espana |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 5 Grace Church St, Port Chester, 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 |
|---|---|---|---|
| 1811254469 | NPI | - | NPPES |
| 04357411 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 282704 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fishkill Center For Rehab & Nursing Lthhcp | Beacon, NY | Home health agency |
| Health Quest Home Care, Inc (certified) Chha | Poughkeepsie, NY | Home health agency |
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| Hudson Valley Hospice | Poughkeepsie, NY | Hospice |
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Medical Care Pc | 9931013240 | 979 |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge Martin Espana, MD 165 Main St, Ossining, NY 10562-4702 Ph: (914) 941-1263 | Dr Jorge Martin Espana, MD 5 Grace Church St, Port Chester, NY 10573-4911 Ph: (914) 937-8899 |
Dr. Ali Mohammed Waliul Islam, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 914-937-8899 | |
Julia Emma Medina, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 914-632-2737 | |
Mr. Mathew P Thomas, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 97 Hobart Ave, Port Chester, NY 10573 Phone: 914-207-4363 |