| Michaelle Antoine, MD | |
|
300 Crystal Run Rd, Middletown, NY 10941-4069 | |
| (845) 703-6999 | |
| (845) 703-6297 |
| Full Name | Michaelle Antoine |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 28 Years |
| Location | 300 Crystal Run Rd, Middletown, 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 |
|---|---|---|---|
| 1497963599 | NPI | - | NPPES |
| 03492775 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 266858 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Run Healthcare Physicians Llp | 6901792696 | 369 |
| Entity Name | Crystal Run Healthcare Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791 |
| Entity Name | Montefiore New Rochelle Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295163244 PECOS PAC ID: 0345474706 Enrollment ID: O20150310001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaelle Antoine, MD 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Michaelle Antoine, MD 300 Crystal Run Rd, Middletown, NY 10941-4069 Ph: (845) 703-6999 |
William Anthony Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Midway Park Drive, Orange Pediatric Associates Pc, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Dr. Hartley S. Bancroft Ii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Midway Park Dr, Middletown, NY 10940 Phone: 845-343-0728 Fax: 845-343-2087 | |
Kathleen Byrne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Daniel Joseph Ohern, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Jill Hirsch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-796-5807 | |
Hui Ling Deng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Jonathan Nasser, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 |