| Maryann Mikucki, | |
|
45 Reade Pl, Poughkeepsie, NY 12601-3947 | |
| (845) 431-5645 | |
| Not Available |
| Full Name | Maryann Mikucki |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 10 Years |
| Location | 45 Reade Pl, Poughkeepsie, 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 |
|---|---|---|---|
| 1659727618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 31019101 (New York) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 80986 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Putnam Hospital Center | Carmel, NY | Hospital |
| Danbury Hospital | Danbury, CT | Hospital |
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Northern Dutchess Hospital | Rhinebeck, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nuvance Health Medical Practice Ct Inc | 4789597691 | 742 |
| Nuvance Health Medical Practice Pc | 1658468442 | 578 |
| Entity Name | Nuvance Health Medical Practice Ct Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann Mikucki, 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: Not Available | Maryann Mikucki, 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 431-5645 |
Daina Dipinto, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 3 Neptune Rd Ste A19e, Poughkeepsie, NY 12601 Phone: 845-554-3421 |
Brendan Logiurato, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 |
Dr. Atin Goel, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2678 South Rd Ste 202, Poughkeepsie, NY 12601 Phone: 845-790-5700 |
Alexander Douglas Calvert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 |
Dr. Mira Goldring Herman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 |
Brian Joseph Pinkosky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2678 South Rd Ste 202, Poughkeepsie, NY 12601 Phone: 845-790-5700 |
Richard Jiao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Columbia St, Poughkeepsie, NY 12601 Phone: 845-231-5600 Fax: 845-231-5489 |