| Fang Chen, MD | |
|
496 County Road 111, Building B, Manorville, NY 11949-3383 | |
| (631) 405-3200 | |
| (631) 395-6010 |
| Full Name | Fang Chen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 496 County Road 111, Manorville, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255455689 | NPI | - | NPPES |
| 02900750 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 239293 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peconic Bay Homehealth Services | Riverhead, NY | Home health agency |
| Tender Loving Care, An Amedisys Company | Medford, NY | Home health agency |
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Suffolk Hospital | 4981508082 | 75 |
| Peconic Bay Primary Medical Care | 7113817602 | 65 |
| Entity Name | Central Suffolk Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043402050 PECOS PAC ID: 4981508082 Enrollment ID: O20031120000840 |
| Entity Name | Peconic Bay Primary Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Fang Chen, MD 185 Old Country Rd, Ste 2, Riverhead, NY 11901-2121 Ph: (631) 298-4479 | Fang Chen, MD 496 County Road 111, Building B, Manorville, NY 11949-3383 Ph: (631) 405-3200 |
Dr. Mark Jacob Coronel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 287 Wading River Rd, Unit 2, Manorville, NY 11949 Phone: 631-591-3000 | |
Kevin Jacob Yeroushalmi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 496 County Road 111 Bldg D2, Manorville, NY 11949 Phone: 631-591-2901 Fax: 631-591-2904 |