| Dr Premila Bhat, MD | |
|
2314 College Point Blvd, College Point, NY 11356-2526 | |
| (347) 312-3041 | |
| (718) 762-9696 |
| Full Name | Dr Premila Bhat |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 23 Years |
| Location | 2314 College Point Blvd, College Point, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083818546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 230740 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 230740 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgewood Dialysis Center | Ridgewood, NY | Dialysis facility |
| Wyckoff Heights Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mattoo And Bhat Medical Associates, P.c. | 2961393012 | 5 |
| Wyckoff Professional Medical Services Pc | 6406748607 | 132 |
| Entity Name | Mattoo & Bhat Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215978267 PECOS PAC ID: 2961393012 Enrollment ID: O20040320000377 |
| Entity Name | Wyckoff Professional Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Premila Bhat, MD 2314 College Point Blvd, College Point, NY 11356-2526 Ph: (347) 312-3041 | Dr Premila Bhat, MD 2314 College Point Blvd, College Point, NY 11356-2526 Ph: (347) 312-3041 |
Dr. Frank James Loccisano, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1115 College Point Blvd, College Point, NY 11356 Phone: 718-359-2683 Fax: 516-365-1278 | |
Suhasini Jonnavithula, MD Nephrology Medicare: Medicare Enrolled Practice Location: 12216 18th Ave, College Point, NY 11356 Phone: 718-939-1991 | |
James Francis, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1161 129th St, College Point, Queens, College Point, NY 11356 Phone: 718-939-1668 |