| Gary Dicanio, DO | |
|
105 Medford Ave, Patchogue, NY 11772-1223 | |
| (631) 580-1000 | |
| (631) 580-0483 |
| Full Name | Gary Dicanio |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 105 Medford Ave, Patchogue, 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 |
|---|---|---|---|
| 1770665721 | NPI | - | NPPES |
| 210161 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210161 (New York) | Primary |
| 207V00000X | Obstetrics & Gynecology | 210161 (New York) | Secondary |
| Entity Name | Health 1 Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639124571 PECOS PAC ID: 7416039060 Enrollment ID: O20080205000063 |
| Entity Name | Quest Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558792549 PECOS PAC ID: 4183941081 Enrollment ID: O20150401002327 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Dicanio, DO 105 Medford Ave, Patchogue, NY 11772-1223 Ph: (631) 580-1000 | Gary Dicanio, DO 105 Medford Ave, Patchogue, NY 11772-1223 Ph: (631) 580-1000 |
Dr. Panna Shah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medford Ave, Patchogue, NY 11772 Phone: 631-475-4646 Fax: 631-447-5234 | |
Dr. Anthony Pesce, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 | |
Dr. Nileshkumar G. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E Roe Blvd, Patchogue Medical Group,llp, Patchogue, NY 11772 Phone: 631-475-3900 Fax: 631-475-5166 | |
Dr. Christine Marie Doucet, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Medford Ave, Patchogue, NY 11772 Phone: 631-475-5734 Fax: 631-758-2568 | |
Rivkah Raza, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Medford Ave, Patchogue, NY 11772 Phone: 631-475-5734 | |
Jennifer L Santoro, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 107 N Ocean Ave Ste G, Patchogue, NY 11772 Phone: 631-654-5004 | |
Michael Kirk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Road, Patchogue, NY 11772 Phone: 631-654-7170 |