| Dr Roy M Shanon, MD | |
|
616 Bardini Dr, Melville, NY 11747-5264 | |
| (516) 316-0983 | |
| (631) 423-1949 |
| Full Name | Dr Roy M Shanon |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 41 Years |
| Location | 616 Bardini Dr, Melville, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285723791 | NPI | - | NPPES |
| 1922517598 | Other | NY | EMBLEM HEALTH GHI |
| 1922517598 | Other | NY | HEALTHFIRST |
| 1922517598 | Other | NY | UHC |
| 1922517598 | Other | NY | MULTIPLAN |
| 1922517598 | Other | AETNA | |
| 1952517598 | Other | NY | FIDELIS |
| 1922517598 | Other | NY | OXFORD HEALTH PLAN |
| 1922517598 | Other | NY | CIGNA |
| 1952517598 | Other | 1199 NATIONAL BENEFITS FUND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 175599 (New York) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 175599 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Errol C. Mallett Medical Pc | 0042608697 | 5 |
| Lifeline Medical Testing Pllc | 1557726767 | 2 |
| Lifeline Medical Imaging Pc | 2365781887 | 4 |
| Bethpage Medical Practice Pllc | 4880066679 | 7 |
| Entity Name | Suffolk Breast Imaging, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013027283 PECOS PAC ID: 4284628223 Enrollment ID: O20040413000013 |
| Entity Name | David Carmili Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013075779 PECOS PAC ID: 7618052598 Enrollment ID: O20080318000111 |
| Entity Name | Vail Healthcare Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487051207 PECOS PAC ID: 9436461399 Enrollment ID: O20150707000124 |
| Entity Name | Amityville Medical Care P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780064642 PECOS PAC ID: 9032428867 Enrollment ID: O20151019001341 |
| Entity Name | Lifeline Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154895076 PECOS PAC ID: 2365781887 Enrollment ID: O20190228000534 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20200407002099 |
| Entity Name | Errol C. Mallett Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083131635 PECOS PAC ID: 0042608697 Enrollment ID: O20211101001229 |
| Entity Name | Downstate Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811627904 PECOS PAC ID: 0840666186 Enrollment ID: O20221012000475 |
| Entity Name | Bethpage Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518676139 PECOS PAC ID: 4880066679 Enrollment ID: O20230203000748 |
| Entity Name | Lifeline Medical Testing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114634482 PECOS PAC ID: 1557726767 Enrollment ID: O20230421002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy M Shanon, MD 616 Bardini Dr, Melville, NY 11747-5264 Ph: (516) 316-0983 | Dr Roy M Shanon, MD 616 Bardini Dr, Melville, NY 11747-5264 Ph: (516) 316-0983 |
Dr. Mitchell F. Banks, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 555 Broadhollow Road Suite 107, Melville, NY 11747 Phone: 631-414-7272 Fax: 631-414-7273 | |
Allamprabhu Sahebgouda Patil, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Country Meadow Ct, Melville, NY 11747 Phone: 631-367-6427 Fax: 631-367-6234 | |
Ms. Danielle Martin, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 92 Ponderosa Ln, Melville, NY 11747 Phone: 516-302-3667 Fax: 631-302-6658 | |
Dr. Raymond Shang Joong Lee, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 59 Bushwick St, Melville, NY 11747 Phone: 631-943-5219 | |
Dr. Vera T Liang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 555 Broadhollow Rd Ste 203, Melville, NY 11747 Phone: 516-484-5869 | |
Dr. Michael Schwartz, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 150 Broadhollow Rd, Suite 204, Melville, NY 11747 Phone: 631-385-3313 Fax: 631-385-3346 | |
Dr. Marnie Lustig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 445 Broadhollow Rd, Suite 25, Melville, NY 11747 Phone: 516-474-1201 Fax: 516-224-4346 |