| Jessica Lynn Lastig, MD | |
|
935 Northern Blvd, Suite 200, Great Neck, NY 11021-5309 | |
| (516) 829-4414 | |
| (516) 829-5286 |
| Full Name | Jessica Lynn Lastig |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 935 Northern Blvd, Great Neck, New York |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902868292 | NPI | - | NPPES |
| 01344283 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 177033 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 177033 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Urgent Care Pllc | 8628299518 | 66 |
| Optum Medical Care Pc | 9931013240 | 979 |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lynn Lastig, MD 935 Northern Blvd, Suite 200, Great Neck, NY 11021-5309 Ph: (516) 829-4414 | Jessica Lynn Lastig, MD 935 Northern Blvd, Suite 200, Great Neck, NY 11021-5309 Ph: (516) 829-4414 |
Mahyar Ghanaat, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15 Beach Rd, Apt 1s, Great Neck, NY 11023 Phone: 631-444-5544 | |
Jau-ann Tsai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 Northern Blvd, Great Neck, NY 11021 Phone: 516-233-3456 | |
Dr. Arlene Gail Sunshine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 900 Northern Blvd, Suite 110, Great Neck, NY 11021 Phone: 516-482-6700 | |
Adeline Markowitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 14 Glenwood Dr, Great Neck, NY 11021 Phone: 516-487-4699 | |
Eric Cantos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Northern Blvd, Great Neck, NY 11021 Phone: 516-482-6700 | |
Parviz Behfarin, MD Radiology Medicare: Medicare Enrolled Practice Location: 545 East Shore Road, 545, Great Neck, NY 11024 Phone: 516-487-4468 Fax: 516-482-3903 | |
Dr. Marla R Levine, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Northern Blvd, Suite 110, Great Neck, NY 11021 Phone: 516-482-6700 |