| Dr Lisa R Bevilacqua, DO | |
|
1882 New Scotland Rd Ste 200, Slingerlands, NY 12159-3627 | |
| (518) 439-2460 | |
| Not Available |
| Full Name | Dr Lisa R Bevilacqua |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 1882 New Scotland Rd Ste 200, Slingerlands, 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 |
|---|---|---|---|
| 1336231844 | NPI | - | NPPES |
| 01495192 | Medicaid | NY | |
| 08954 | Other | NY | MVP |
| 200032 | Other | NY | SENIOR WHOLE HEALTH |
| 52558 | Other | NY | GHI/HMO |
| 10005959 | Other | NY | CDPHP |
| 000401405003 | Other | NY | BSNENY |
| 040824000041 | Other | NY | FIDELIS |
| 4725D1 | Other | NY | EMPIRE BC |
| 531715 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 191889 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Peters Hospital Of The City Of Albany | 2668460072 | 224 |
| Community Care Physicians Pllc | 8022904473 | 349 |
| Entity Name | St Peters Hospital Of The City Of Albany |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa R Bevilacqua, DO 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Dr Lisa R Bevilacqua, DO 1882 New Scotland Rd Ste 200, Slingerlands, NY 12159-3627 Ph: (518) 439-2460 |
Dr. Peter H Forman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 New Scotland Rd, Slingerlands, NY 12159 Phone: 518-320-7517 Fax: 518-439-0214 | |
Rebecca Elliott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 New Scotland Rd, Slingerlands, NY 12159 Phone: 518-320-7517 Fax: 518-439-0214 | |
Dr. Andrew J Sullivan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 N Helderberg Pkwy, Slingerlands, NY 12159 Phone: 518-439-2411 | |
Amy Sue Banahan, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 New Scotland Rd, Slingerlands, NY 12159 Phone: 518-801-7285 |