| Dr Maureen M Orsen, MD | |
|
395 Sunken Meadow Road, Kings Park, NY 11754 | |
| (631) 269-5800 | |
| (631) 269-5876 |
| Full Name | Dr Maureen M Orsen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 395 Sunken Meadow Road, Kings Park, 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 |
|---|---|---|---|
| 1154492429 | NPI | - | NPPES |
| 00774658 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 129589-1 (New York) | Secondary |
| 207R00000X | Internal Medicine | 129589 (New York) | Primary |
| Entity Name | St. Johnland Nursing Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336219658 PECOS PAC ID: 9234028929 Enrollment ID: O20040311000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maureen M Orsen, MD 395 Sunken Meadow Road, Kings Park, NY 11754 Ph: (631) 269-5800 | Dr Maureen M Orsen, MD 395 Sunken Meadow Road, Kings Park, NY 11754 Ph: (631) 269-5800 |
Dr. Sharwan K Bagla, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Main St, Kings Park, NY 11754 Phone: 631-269-5550 Fax: 631-269-6304 | |
Michael Desposito, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 East Northport Road, Kings Park, NY 11754 Phone: 631-269-1148 Fax: 631-269-1149 | |
Dr. Debra Pincus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Indian Head Rd, Suite 2, Kings Park, NY 11754 Phone: 631-269-0180 Fax: 631-269-0178 |