| Dr Maurice Donovan Selby, MD | |
|
4295 Hempstead Turnpike, St. Joseph Hospital, Bethpage, NY 11714 | |
| (516) 579-6000 | |
| (718) 245-4799 |
| Full Name | Dr Maurice Donovan Selby |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 4295 Hempstead Turnpike, Bethpage, 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 |
|---|---|---|---|
| 1306253844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 85672 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | 291119 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Medical Care Foundation Inc | 4981501814 | 877 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maurice Donovan Selby, MD 531 Asbury Circle, Annex Building Suite N340, Atlanta, GA 30322 Ph: (347) 262-5633 | Dr Maurice Donovan Selby, MD 4295 Hempstead Turnpike, St. Joseph Hospital, Bethpage, NY 11714 Ph: (516) 579-6000 |
Michael Rosolino Mendola, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4295 Hempstead Turnpike, Bethpage, NY 11714 Phone: 516-520-2201 | |
Daivesh Doshi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 | |
Audie R Liametz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 Hicksville Rd, Suite 204, Bethpage, NY 11714 Phone: 516-663-2829 | |
Ruben Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-520-2201 | |
Kaitlyn Taylor Baudille, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 | |
Dr. Steve Park, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 Hempstead Tpke, Bethpage, NY 11714 Phone: 734-717-2171 |