| Jason Samuel Shinners, DO | |
|
101 Nicholls Road Hsc Level 3, Stony Brook, NY 11794-1715 | |
| (631) 444-5858 | |
| (631) 444-1899 |
| Full Name | Jason Samuel Shinners |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 101 Nicholls Road Hsc Level 3, Stony Brook, 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 |
|---|---|---|---|
| 1568082691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 322275 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Family And Preventive Medicine, University Faculty Practic | 7113816273 | 42 |
| Entity Name | Stony Brook Family And Preventive Medicine, University Faculty Practic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982659470 PECOS PAC ID: 7113816273 Enrollment ID: O20040315000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Samuel Shinners, DO 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 Ph: (703) 391-2020 | Jason Samuel Shinners, DO 101 Nicholls Road Hsc Level 3, Stony Brook, NY 11794-1715 Ph: (631) 444-5858 |
Lucas James Mcarthur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794 Phone: 631-444-2754 Fax: 631-444-6031 | |
Dr. William James Robbins, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Meadow Dr, Stony Brook, NY 11790 Phone: 631-741-4323 Fax: 631-751-6488 | |
Dr. Sujatha Konnanath Palat, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1stadium Rd,student Health Service, Stonybrook Univ, Stony Brook, NY 11794 Phone: 631-632-6740 Fax: 631-632-6936 | |
Dr. Kulsoom Shah, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, NY 11794 Phone: 631-632-6740 Fax: 631-632-6936 | |
Dr. Derek Noel Mattimoe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790 Phone: 631-751-3322 Fax: 631-751-3844 | |
Dr. Gretchen L Mockler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Family Medicine, Hsc L4 Room 050, Stony Brook, NY 11794 Phone: 631-444-8430 | |
Dr. Keaira C Dupuy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-963-6795 Fax: 631-471-1000 |