| Dr Thomas Panetta, MD | |
|
600 Northern Blvd, Suite 115, Great Neck, NY 11021-5206 | |
| (516) 482-8220 | |
| (516) 482-8221 |
| Full Name | Dr Thomas Panetta |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 49 Years |
| Location | 600 Northern Blvd, Great Neck, 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 |
|---|---|---|---|
| 1184601072 | NPI | - | NPPES |
| 00799404 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 137978 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Rockville centre, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prine Health Medical Group, Pllc | 1557600384 | 71 |
| Entity Name | Thomas Panetta Md Vascular Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760640619 PECOS PAC ID: 8426121419 Enrollment ID: O20080724000323 |
| Entity Name | Prine Health Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144790163 PECOS PAC ID: 1557600384 Enrollment ID: O20190222000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Panetta, MD 600 Northern Blvd, Suite 115, Great Neck, NY 11021-5206 Ph: (516) 482-8220 | Dr Thomas Panetta, MD 600 Northern Blvd, Suite 115, Great Neck, NY 11021-5206 Ph: (516) 482-8220 |
Dr. Lewis Myles Kurtz, MD Surgery Medicare: Medicare Enrolled Practice Location: 310 East Shore Road, Suite 203, Great Neck, NY 11023 Phone: 516-482-8657 Fax: 516-829-0002 | |
Dr. Alex Michael Stone, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 37 South Dr, Great Neck, NY 11021 Phone: 516-487-9603 Fax: 516-487-9603 | |
Dr. Dennis Barek, MD Surgery Medicare: Medicare Enrolled Practice Location: 29 Wensley Dr, Great Neck, NY 11021 Phone: 516-829-6567 Fax: 516-829-7652 | |
Dr. John A Procaccino Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Northern Blvd, Great Neck, NY 11021 Phone: 516-730-2100 Fax: 516-730-2121 | |
Dimitra Theodoropoulos, M.D., FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 E Shore Rd, Suite 203, Great Neck, NY 11023 Phone: 516-482-8657 Fax: 516-829-0002 | |
Dr. Gregory Fried, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Effron Pl, Great Neck, NY 11020 Phone: 917-428-9969 Fax: 516-829-4711 | |
Dr. Martin L Schulman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 212 Middle Neck Rd, Great Neck, NY 11021 Phone: 516-482-4477 Fax: 516-482-7437 |