| Dr Noci Deda, MD | |
|
185 Old Military Rd, Lake Placid, NY 12946-1939 | |
| (518) 523-2464 | |
| (518) 523-1401 |
| Full Name | Dr Noci Deda |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 39 Years |
| Location | 185 Old Military Rd, Lake Placid, 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 |
|---|---|---|---|
| 1922018282 | NPI | - | NPPES |
| 06000232650 | Medicaid | NY | |
| 232650 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 232650 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Putnam Hospital Center | Carmel, NY | Hospital |
| St Joseph's Medical Center | Yonkers, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nuvance Health Medical Practice, Pc | 1658468442 | 511 |
| Newburgh Physician Services Pc | 2264666767 | 12 |
| Entity Name | Nuvance Health Medical Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
| Entity Name | Southwest Suffolk Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104096049 PECOS PAC ID: 0244396349 Enrollment ID: O20090225000297 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Noci Deda, MD 122 Bloomingdale Ave Apt 1, Saranac Lake, NY 12983-1223 Ph: (518) 523-3496 | Dr Noci Deda, MD 185 Old Military Rd, Lake Placid, NY 12946-1939 Ph: (518) 523-2464 |
Dorit Dorcas Gaedtke, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1927 Saranac Ave, Suite 100, Lake Placid, NY 12946 Phone: 518-523-7575 Fax: 518-523-7577 | |
Dr. Karen Cooper, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1927 Saranac Ave, Suite 100, Lake Placid, NY 12946 Phone: 518-523-7575 Fax: 518-523-7577 |