| Miguel Diaz, | |
|
1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | |
| (518) 371-9355 | |
| (518) 373-9139 |
| Full Name | Miguel Diaz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1783 Route 9, Halfmoon, 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 |
|---|---|---|---|
| 1477642858 | NPI | - | NPPES |
| 01671383 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203991 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (ballston Lake) | Ballston lake, NY | Home health agency |
| Community Hospice, Inc, The | Rensselaer, NY | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Physicians Pllc | 8022904473 | 349 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Diaz, 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Miguel Diaz, 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 Ph: (518) 371-9355 |
Stephen F Kineke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 | |
Ms. Angelina M Miseno-callaghan, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1694 Route 9, Halfmoon, NY 12065 Phone: 518-930-7486 Fax: 518-930-7487 | |
Dr. Jacob M Reider, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1714 Route 9 Ste A, Halfmoon, NY 12065 Phone: 518-900-1115 | |
Elena Rosenbaum, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1714 Route 9 Ste A, Halfmoon, NY 12065 Phone: 518-900-1115 | |
Dr. Eric Carl Schnakenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 204, Halfmoon, NY 12065 Phone: 518-371-9355 Fax: 518-373-9139 | |
Shelley Justa, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 |