| Michael Poulose, | |
|
1236 Rxr Plz, Uniondale, NY 11556-1236 | |
| (516) 252-3939 | |
| Not Available |
| Full Name | Michael Poulose |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 1236 Rxr Plz, Uniondale, 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 |
|---|---|---|---|
| 1740668227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 297658 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chsli St Joseph Hospital | Bethpage, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph Hospital | 1254222938 | 81 |
| Entity Name | Good Samaritan Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
| Entity Name | St. Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881799153 PECOS PAC ID: 1254222938 Enrollment ID: O20040323000142 |
| Entity Name | St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760704811 PECOS PAC ID: 9234101221 Enrollment ID: O20040810001086 |
| Entity Name | Samaritan Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104978014 PECOS PAC ID: 7012016660 Enrollment ID: O20070621000503 |
| Entity Name | Progressive Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588098172 PECOS PAC ID: 8820225956 Enrollment ID: O20131218000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Poulose, 13 Glen Rose Ct, West Nyack, NY 10994-2108 Ph: (845) 480-4792 | Michael Poulose, 1236 Rxr Plz, Uniondale, NY 11556-1236 Ph: (516) 252-3939 |
Melanie Beth O'neill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1345 Rxr Plz Fl 13, Uniondale, NY 11556 Phone: 516-453-0435 Fax: 646-846-3283 | |
Dr. John Louis Mccarthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Rxr Plaza, Uniondale, NY 11556 Phone: 516-783-4600 Fax: 516-783-4612 | |
Tayna Labissiere, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1345 Rxr Plz, Uniondale, NY 11556 Phone: 516-453-0435 | |
Dr. Marta Dedza, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Rxr Plz, Uniondale, NY 11556 Phone: 516-783-4600 Fax: 646-846-3283 | |
Matthew Edward Sikina, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Earle Ovington Blvd, Uniondale, NY 11553 Phone: 516-743-3596 |