| Maira Fonseca, | |
|
234 E 149th St, Bronx, NY 10451-5504 | |
| (212) 639-3210 | |
| Not Available |
| Full Name | Maira Fonseca |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 234 E 149th St, Bronx, 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 |
|---|---|---|---|
| 1003201799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 300446 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lincoln Medical & Mental Health Center | Bronx, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Affiliate Group Of New York Pc | 4688098833 | 1044 |
| Entity Name | Downtown Bronx Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
| Entity Name | Physician Affiliate Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Maira Fonseca, 1275 York Ave # 8, New York, NY 10065-6007 Ph: () - | Maira Fonseca, 234 E 149th St, Bronx, NY 10451-5504 Ph: (212) 639-3210 |
Dr. Ali Nicole Dana, MD,PHD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000 | |
Dr. Mina Daoud Aziz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3411 Wayne Ave, Bronx, NY 10467 Phone: 718-920-2680 | |
Carson Thomas Kirkpatrick, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3514 Bainbridge Ave, Bronx, NY 10467 Phone: 866-633-8255 | |
Dr. Shira Wieder, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463 Phone: 718-543-0900 | |
Dr. Richard W Green, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2100 Bartow Ave, Suite 211, Bronx, NY 10475 Phone: 718-671-1000 Fax: 212-765-3210 | |
Dr. Caroline Patricia Halverstam, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1250 Waters Pl, Tower 2, 6th Floor, Bronx, NY 10461 Phone: 866-633-8255 |