| Mark Nogueira, MD | |
|
90 S Bedford Rd, Mount Kisco, NY 10549-3412 | |
| (914) 241-1050 | |
| Not Available |
| Full Name | Mark Nogueira |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 90 S Bedford Rd, Mount Kisco, 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 |
|---|---|---|---|
| 1700830668 | NPI | - | NPPES |
| P00413189 | Other | NY | RAILROAD MEDICARE |
| 02753051 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 239621-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Westchester Hospital | Mount kisco, NY | Hospital |
| Phelps Memorial Hospital Center | Sleepy hollow, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Nogueira, MD 90 S Bedford Rd, Mount Kisco, NY 10549-3412 Ph: (914) 241-1050 | Mark Nogueira, MD 90 S Bedford Rd, Mount Kisco, NY 10549-3412 Ph: (914) 241-1050 |
Warren D Bromberg, MD Urology Medicare: Medicare Enrolled Practice Location: 110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1516 | |
Alexandra Gavalo-yacco, FNP-BC Urology Medicare: Accepting Medicare Assignments Practice Location: 100 S Bedford Rd, Mount Kisco, NY 10549 Phone: 914-242-1520 | |
Dr. Benjamin A Spencer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 90 S Bedford Rd, Caremount Medical Pc, Mount Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1521 |