| Patrick Rutka, DO | |
|
201 Manor Pl, Greenport, NY 11944-1222 | |
| (631) 477-5273 | |
| (631) 477-1670 |
| Full Name | Patrick Rutka |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 201 Manor Pl, Greenport, 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 |
|---|---|---|---|
| 1528599099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 303303 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meeting House Lane Medical Practice Pc | 6800972589 | 117 |
| Entity Name | Meeting House Lane Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Rutka, DO 240 Meeting House Ln, Southampton, NY 11968-5009 Ph: (860) 705-1575 | Patrick Rutka, DO 201 Manor Pl, Greenport, NY 11944-1222 Ph: (631) 477-5273 |
Mel B Kaplan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 232 4th Ave, Greenport, NY 11944 Phone: 631-477-0070 Fax: 631-477-8983 | |
Shahzad Chaudhary, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Manor Pl, Greenport, NY 11944 Phone: 833-843-3263 Fax: 833-843-3263 | |
Dr. Negin Hajizadeh, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 330 Bridge St, Greenport, NY 11944 Phone: 401-935-1027 Fax: 212-562-1759 | |
Cynthia H. Ickes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 Manor Pl, Greenport, NY 11944 Phone: 631-477-2626 Fax: 631-477-2604 |