| Dr Scott Christopher Wodicka, MD | |
|
15 Park Ave, Bay Shore, NY 11706-7381 | |
| (631) 581-4400 | |
| (631) 277-3750 |
| Full Name | Dr Scott Christopher Wodicka |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 15 Park Ave, Bay Shore, 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 |
|---|---|---|---|
| 1871539205 | NPI | - | NPPES |
| 214088 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 214088 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Christopher Wodicka, MD 15 Park Ave, Bay Shore, NY 11706-7381 Ph: (631) 581-4400 | Dr Scott Christopher Wodicka, MD 15 Park Ave, Bay Shore, NY 11706-7381 Ph: (631) 581-4400 |
Dr. Bradley David Cohen, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 15 Park Ave, Bay Shore, NY 11706 Phone: 631-581-4400 Fax: 631-277-3750 | |
Dr. Gerardo Antonio Vitiello, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Michael Anthony Amaturo, Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-894-5200 | |
Dr. Manal Hegazy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Park Ave, Bay Shore, NY 11706 Phone: 631-581-4400 Fax: 631-277-3750 | |
Dr. Kermaan Godrej Mehta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Alexandra Capece, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 440 E Main St Ste A, Bay Shore, NY 11706 Phone: 520-414-8000 | |
Dr. Charles A La Rosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Park Ave, Bay Shore, NY 11706 Phone: 631-581-4400 Fax: 631-277-3750 |