| Pedro J Roque, MD | |
|
600 Suffolk Ave Ste B, Brentwood, NY 11717-4311 | |
| (631) 435-2133 | |
| (631) 435-4365 |
| Full Name | Pedro J Roque |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 600 Suffolk Ave Ste B, Brentwood, 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 |
|---|---|---|---|
| 1275617987 | NPI | - | NPPES |
| 00891974 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 157218 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Partnercare Physicians Pllc | 9638593585 | 19 |
| Entity Name | Primary Partnercare Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318168 PECOS PAC ID: 9638593585 Enrollment ID: O20200723003709 |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro J Roque, MD 1010 Northern Blvd Ste 328, Great Neck, NY 11021-5329 Ph: (516) 233-2484 | Pedro J Roque, MD 600 Suffolk Ave Ste B, Brentwood, NY 11717-4311 Ph: (631) 435-2133 |
Dr. Daniel C Korman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1646 Brentwood Rd, Brentwood, NY 11717 Phone: 631-231-5200 Fax: 631-231-4431 | |
Dr. Maria Khurshid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 Suffolk Ave Ste 103, Brentwood, NY 11717 Phone: 212-257-2777 Fax: 212-257-2777 | |
Devendra Kaur Gill, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1556 Islip Ave, Brentwood, NY 11717 Phone: 631-582-5325 Fax: 631-234-3635 | |
Dr. Vasudeo V Mone, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Pilgrim Psychiatric Center, Brentwood, NY 11717 Phone: 631-761-3500 Fax: 631-761-2815 | |
Dr. Vincent Richard Leddy, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 | |
Dr. Richard John Valinotti, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 |