| Ilisa Mackoy, MD | |
| 
					1468 Madison Ave, New York, NY 10029-6508  | |
| (212) 241-4441 | |
| Not Available | 
| Full Name | Ilisa Mackoy | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 1468 Madison Ave, New York, 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 | 
|---|---|---|---|
| 1861927972 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | MD25740 (Maine) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Eastern Maine Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088  | 
| Entity Name | Eastern Maine Healthcare Systems Inland Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ilisa Mackoy, MD 69 Fruit St, Bangor, ME 04401-5521 Ph: (850) 728-5817  | Ilisa Mackoy, MD 1468 Madison Ave, New York, NY 10029-6508 Ph: (212) 241-4441  | 
Dr. Jason H Epstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, New York, NY 10010 Phone: 212-686-7500  | |
Dr. Aisha Baqai,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St # M-312, New York, NY 10065 Phone: 212-746-2941 Fax: 212-746-8713  | |
Dr. Donna Bracken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 506 Malcolm X Blvd, New York, NY 10037 Phone: 212-939-1000  | |
Michael Newman Singleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1036  | |
Dr. Abimbola Adegbola, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 550 1st Ave, New York, NY 10016 Phone: 609-680-6333  | |
Dr. Thor Lidasan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave # A-560, New York, NY 10016 Phone: 212-562-2300 Fax: 212-562-3486  | |
Kenneth H Jacobson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072  |