| Dr Thomas Overholt, MD | |
|
75 N Country Rd, Port Jefferson, NY 11777-2119 | |
| (631) 686-7654 | |
| (631) 686-7653 |
| Full Name | Dr Thomas Overholt |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 75 N Country Rd, Port Jefferson, 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 |
|---|---|---|---|
| 1043310568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2359411 (New York) | Primary |
| Entity Name | Lancaster General Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1730323759 PECOS PAC ID: 1254240039 Enrollment ID: O20090710000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Overholt, MD 625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316 Ph: (631) 473-1320 | Dr Thomas Overholt, MD 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 686-7654 |
Raymond Wong, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654 | |
Dr. Asim Elahi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Dr. Christopher Rene Tanchez, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 718-616-3000 | |
Javeria Nasim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7972 | |
Shaheer Ali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654 | |
Obiageli Anyaogu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 |