| Dr Roger Raichelson, MD | |
|
160 N Midland Ave, Nyack Hospital, Nyack, NY 10960-1912 | |
| (845) 348-2862 | |
| Not Available |
| Full Name | Dr Roger Raichelson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 160 N Midland Ave, Nyack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144221144 | NPI | - | NPPES |
| 010189329NY01 | Other | NY | ANTH |
| NY6798 | Other | NY | PHS |
| 01524758 | Medicaid | NY | |
| 2999503 | Other | NY | CIGNA |
| 040426011772 | Other | NY | BHP |
| 4494737 | Other | NY | AETNA |
| 0006424 | Other | NY | GHI |
| 319915 | Other | NY | MVP |
| 13319642703 | Other | NY | 1199 |
| 41687 | Other | NY | GHI HMO |
| 189329 | Other | NY | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 189329 (New York) | Primary |
| Entity Name | American Anesthesiology Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114973724 PECOS PAC ID: 9537050968 Enrollment ID: O20040323001912 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Raichelson, MD 43 Kensico Dr, 2nd Floor, Mount Kisco, NY 10549-1009 Ph: (914) 666-8866 | Dr Roger Raichelson, MD 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960-1912 Ph: (845) 348-2862 |
Prem S. Mehta, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2862 | |
Dr. Jae Ho Lee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 914-666-8866 | |
Dr. Octavian Popa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2862 | |
Dr. Jonathan Ames, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2862 | |
Erin Yi Chen Wei, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2862 | |
Dr. Paul N. Lutvak, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2862 |