| Ikemesit Udo-bellner, | |
|
450 Waverly Ave, Patchogue, NY 11772-1555 | |
| (631) 444-5437 | |
| Not Available |
| Full Name | Ikemesit Udo-bellner |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 7 Years |
| Location | 450 Waverly Ave, Patchogue, 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 |
|---|---|---|---|
| 1144783820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 315474-01 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Children's Service, University Faculty Practice Corporatio | 8921993551 | 41 |
| Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Ikemesit Udo-bellner, 450 Waverly Ave, Patchogue, NY 11772-1555 Ph: (631) 444-0650 | Ikemesit Udo-bellner, 450 Waverly Ave, Patchogue, NY 11772-1555 Ph: (631) 444-5437 |
Dr. Denise Woodall-ruff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 | |
Manjula Chatterjee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 646-283-7151 Fax: 631-758-6568 | |
Dr. Mei Yuk Kee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 East Main Street, Patchogue, NY 11772 Phone: 631-854-1266 Fax: 631-854-1329 | |
Rubab Mian, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 Fax: 631-444-6327 | |
Robyn Renee Labarca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Waverly Ave, Patchogue, NY 11772 Phone: 631-444-6300 | |
Mohammad M Rahman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: South Brookhaven Health Center, 365 East Main St, Patchogue, NY 11772 Phone: 631-854-1307 Fax: 631-854-1310 |