| Dr Mikhail Podlog, DO | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 226-9000 | |
| Not Available |
| Full Name | Dr Mikhail Podlog |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 475 Seaview Ave, Staten Island, 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 |
|---|---|---|---|
| 1558716746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 296647 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Associates Pc | 3870526858 | 36 |
| Entity Name | Emergency Medicine Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453860 PECOS PAC ID: 3870526858 Enrollment ID: O20050912000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mikhail Podlog, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: () - | Dr Mikhail Podlog, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 |
Shamyla Farrukh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9158 Fax: 718-226-6964 | |
Dr. Shorok E Hassan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Patrick Kettyle, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 | |
Edward Adrian, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Paul Bollmeyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Ann Marchesano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608 | |
Dr. Teresa Myongeun Choe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855 |