| Mark Flyer, MD | |
|
30 Rose Lane, East Rockaway, NY 11518-2129 | |
| (216) 255-5700 | |
| (216) 255-5701 |
| Full Name | Mark Flyer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 30 Rose Lane, East Rockaway, 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 |
|---|---|---|---|
| 1932180684 | NPI | - | NPPES |
| 01272935 | Medicaid | NY | |
| 2650760 | Medicaid | OH | |
| 926S71 | Other | NY | EMPIRE BLUE CROSS |
| 34195845111518 | Other | TRICARE NORTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 183860 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maimonides Medical Center | Brooklyn, NY | Hospital |
| New York Community Hospital Of Brooklyn, Inc. | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maimonides Medical Center - Mmc Radiology Fpp | 1456241447 | 54 |
| Entity Name | Maimonides Medical Center - Mmc Radiology Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811948284 PECOS PAC ID: 1456241447 Enrollment ID: O20040315001589 |
| 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 | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| 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 |
| Entity Name | Radiology Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180215000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Flyer, MD 23625 Commerce Park, Suite 204, Beachwood, OH 44122-5845 Ph: (216) 255-5700 | Mark Flyer, MD 30 Rose Lane, East Rockaway, NY 11518-2129 Ph: (216) 255-5700 |