| Dr Luis M Fandos, MD | |
|
500 W Main St, Suite 116, Babylon, NY 11702 | |
| (631) 422-6166 | |
| (631) 422-6266 |
| Full Name | Dr Luis M Fandos |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 35 Years |
| Location | 500 W Main St, Babylon, 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 |
|---|---|---|---|
| 1376572594 | NPI | - | NPPES |
| 01793255 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 208260 (New York) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 208260 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York Pain Consultants Llc | 0749260107 | 19 |
| Entity Name | New York Pain Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639190630 PECOS PAC ID: 0749260107 Enrollment ID: O20040726000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis M Fandos, MD 11350 Mccormick Rd, Executive Plaza 1, Suite 501, Hunt Valley, MD 21031 Ph: (410) 329-1071 | Dr Luis M Fandos, MD 500 W Main St, Suite 116, Babylon, NY 11702 Ph: (631) 422-6166 |
Daniel J Kohane, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Suite 116, Babylon, NY 11702 Phone: 631-422-6166 Fax: 631-422-6266 |