| Luke Immanuel Hartman, MD | |
|
101 Nicolls Rd, Stony Brook, NY 11794-0001 | |
| (631) 638-1567 | |
| Not Available |
| Full Name | Luke Immanuel Hartman |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 101 Nicolls Rd, Stony Brook, 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 |
|---|---|---|---|
| 1508327552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 345698 (New York) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 345698 (New York) | Primary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Entity Name | Nationwide Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851179873 PECOS PAC ID: 0042385064 Enrollment ID: O20240214002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Immanuel Hartman, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Luke Immanuel Hartman, MD 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 638-1567 |
Dr. Mireya Garcia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-3429 |
Dr. Jason Halegoua, PHD, MD, MBA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Hallock Rd Ste 106, Stony Brook, NY 11790 Phone: 631-675-9777 Fax: 631-675-9778 |
Dr. Christy Anne Beneri, DO Pediatrics Medicare: Medicare Enrolled Practice Location: Hsc Suny Stony Brook, Department Of Pediatrics Hsc T-11, Stony Brook, NY 11794 Phone: 631-444-7992 Fax: 631-444-7292 |
Pianpian Wu, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-5437 |
Brittani Rose Mannix, NNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2000 |
Kathleen Doobinin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Department Of Pediatrics, Hsc T-11-020, Stony Brook, NY 11794 Phone: 631-444-2710 |
Dr. Stephanie Anne Tischler, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 14, Stony Brook, NY 11790 Phone: 631-689-6226 Fax: 631-675-0736 |