| Dr Kavita Menon, MD | |
|
582 New Loudon Rd, Latham, NY 12110-4059 | |
| (518) 875-3376 | |
| Not Available |
| Full Name | Dr Kavita Menon |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 20 Years |
| Location | 582 New Loudon Rd, Latham, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275799801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 245879-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Dermatology, Pllc | 8123560679 | 2 |
| Entity Name | Magnolia Dermatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932889102 PECOS PAC ID: 8123560679 Enrollment ID: O20240612000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kavita Menon, MD 2 Executive Park Drive 2nd Floor, Albany, NY 12203-3700 Ph: (518) 482-8631 | Dr Kavita Menon, MD 582 New Loudon Rd, Latham, NY 12110-4059 Ph: (518) 875-3376 |
Dr. Sheryl R Miller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd Ste 208, Latham, NY 12110 Phone: 518-783-8780 Fax: 518-783-1587 | |
Hillary Siebeneck, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste 105, Latham, NY 12110 Phone: 518-785-5883 Fax: 518-782-3741 | |
Dr. Stewart Altmayer, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 211, Latham, NY 12110 Phone: 518-783-8780 |