| Dr Raven Devincenzo, MD | |
|
475 Seaview Ave, Staten Island, NY 10305-3436 | |
| (718) 226-9175 | |
| (718) 226-8198 |
| Full Name | Dr Raven Devincenzo |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 475 Seaview Ave, Staten Island, 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 |
|---|---|---|---|
| 1104844117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 217324 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Medical Center | Red bank, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Red Bank Radiologists, Pa | 7113941493 | 3 |
| Holmdel Imaging Llc | 7911921515 | 4 |
| Coastal Imaging Llc | 8123312055 | 54 |
| Entity Name | Regional Womens Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215536 PECOS PAC ID: 2961316328 Enrollment ID: O20040420000034 |
| Entity Name | Holmdel Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629027339 PECOS PAC ID: 7911921515 Enrollment ID: O20060123000500 |
| Entity Name | Red Bank Radiologists, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598794463 PECOS PAC ID: 7113941493 Enrollment ID: O20060125000823 |
| Entity Name | Health Village Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194810978 PECOS PAC ID: 9537263223 Enrollment ID: O20070406000359 |
| Entity Name | Coastal Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710334727 PECOS PAC ID: 8123312055 Enrollment ID: O20160816000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raven Devincenzo, MD Po Box 4652, Warren, NJ 07059-0652 Ph: (718) 226-9175 | Dr Raven Devincenzo, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9175 |
Dr. Jonathan E Scheiner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9175 Fax: 718-226-8198 | |
Thomas A. Giaimo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 360 Bard Ave, Staten Island, NY 10310 Phone: 718-876-2000 Fax: 718-876-2006 | |
Dr. Suraj Vijay Parekh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6575 | |
Dr. Salvatore Desena, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 Columbus Ave, Staten Island, NY 10304 Phone: 718-448-3210 Fax: 718-984-2642 | |
Dr. Carolyn L Raia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 360 Bard Ave, Staten Island, NY 10310 Phone: 718-876-2000 Fax: 718-876-2006 | |
Dr. Linda N Michelson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9175 Fax: 718-226-8198 | |
Stella Elgort, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 360 Bard Ave, Staten Island, NY 10310 Phone: 718-876-2010 Fax: 718-876-2012 |