| Dr Ravindra Kota, MD | |
|
285 Sills Rd, East Patchogue, NY 11772-4855 | |
| (631) 475-6663 | |
| (631) 475-6664 |
| Full Name | Dr Ravindra Kota |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 41 Years |
| Location | 285 Sills Rd, East Patchogue, 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 |
|---|---|---|---|
| 1780651323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 221334-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Entity Name | Premier Surgical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740349927 PECOS PAC ID: 1557434438 Enrollment ID: O20080725000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravindra Kota, MD 40 Brayton Ct N, South Setauket, NY 11720-4625 Ph: (631) 475-6663 | Dr Ravindra Kota, MD 285 Sills Rd, East Patchogue, NY 11772-4855 Ph: (631) 475-6663 |
Dr. Melissa D Fana, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 106, East Patchogue, NY 11772 Phone: 631-228-5899 Fax: 929-455-9828 | |
Dr. Juan Jose Gilbert Fernandez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Patchogue Yaphank Rd Ste 102, East Patchogue, NY 11772 Phone: 201-682-9885 Fax: 631-447-9843 | |
Dr. Jerry A Rubano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 106, East Patchogue, NY 11772 Phone: 631-228-5800 Fax: 929-455-9828 | |
David P Mangiameli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 201, Attn: Liz Knuerr, East Patchogue, NY 11772 Phone: 631-687-4237 Fax: 631-447-3012 | |
Ross Edward Weller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd Ste 106, East Patchogue, NY 11772 Phone: 631-228-5800 Fax: 929-455-9828 |