Dr Michael Robert O'brien, MD | |
4 Jackson St, Beacon, NY 12508-3453 | |
(845) 883-8633 | |
Not Available |
Full Name | Dr Michael Robert O'brien |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4 Jackson St, Beacon, 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 |
---|---|---|---|
1215257100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 60273132 (New York) | Secondary |
207R00000X | Internal Medicine | MD482644 (Pennsylvania) | Primary |
Entity Name | Faxton-st Lukes Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Boston Children's Health Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Entity Name | Middletown Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902855828 PECOS PAC ID: 2567464308 Enrollment ID: O20070208000144 |
Entity Name | Newburgh Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205268364 PECOS PAC ID: 2264666767 Enrollment ID: O20131017000492 |
Entity Name | Central Orange Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558776468 PECOS PAC ID: 0749405405 Enrollment ID: O20140714000982 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Robert O'brien, MD 28 Saddlebrook Ln, Phoenixville, PA 19460-2393 Ph: (631) 255-2601 | Dr Michael Robert O'brien, MD 4 Jackson St, Beacon, NY 12508-3453 Ph: (845) 883-8633 |
Phiroza S Modi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 355 Fishkill Ave, Beacon, NY 12508 Phone: 718-989-5550 Fax: 718-454-8906 | |
Parveen Banu Ghnai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Fishkill Ave, Beacon, NY 12508 Phone: 845-831-6000 |