| Dr Simardeep Mangat, MD | |
|
1304 Buckley Rd, Syracuse, NY 13212-4311 | |
| (315) 478-3311 | |
| (315) 426-0796 |
| Full Name | Dr Simardeep Mangat |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 17 Years |
| Location | 1304 Buckley Rd, Syracuse, 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 |
|---|---|---|---|
| 1063518074 | NPI | - | NPPES |
| 02969271 | Medicaid | NY | |
| 204496170 | Other | NY | EXCELLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 235907 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 235907 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knickerbocker Dialysis, Inc. | Syracuse, NY | Dialysis facility |
| Liverpool Dialysis Center, Llc | Syracuse, NY | Dialysis facility |
| St. Joseph's - Regional | Syracuse, NY | Dialysis facility |
| Crouse Hospital | Syracuse, NY | Hospital |
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Oneida Healthcare Center | Oneida, NY | Hospital |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Associates Of Syracuse, P.c. | 2769379015 | 12 |
| Entity Name | Nephrology Associates Of Syracuse, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831276823 PECOS PAC ID: 2769379015 Enrollment ID: O20040714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Simardeep Mangat, MD 1304 Buckley Road, Syracuse, NY 13212 Ph: (315) 478-3311 | Dr Simardeep Mangat, MD 1304 Buckley Rd, Syracuse, NY 13212-4311 Ph: (315) 478-3311 |
Courtney Myers, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815 | |
Joan Marie Mitchell, MD Nephrology Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827 | |
Saverio J. Barbera, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 | |
Gordana Obradovic, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 | |
Kristin A Ramella, NP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 | |
Vinodhini M Subramanian, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Robert R. Michiel, MD Nephrology Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |