| Beena Jacob, | |
|
101 Mineola Blvd Fl 2, Mineola, NY 11501-4089 | |
| (516) 663-3511 | |
| Not Available |
| Full Name | Beena Jacob |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 Mineola Blvd Fl 2, Mineola, 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 |
|---|---|---|---|
| 1699201970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F307794-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New York University Langone Medical Center | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5027 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Middle Country Endocrinology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295068930 PECOS PAC ID: 9032256169 Enrollment ID: O20091022000358 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Winthrop Community Medical Affiliates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Beena Jacob, 285 E Main St Ste 105, Smithtown, NY 11787-2912 Ph: () - | Beena Jacob, 101 Mineola Blvd Fl 2, Mineola, NY 11501-4089 Ph: (516) 663-3511 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2406 Fax: 516-663-3759 | |
Ms. Marina Pavlovic, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Mineola Blvd, Mineola, NY 11501 Phone: 516-663-3000 | |
Erin Colleen Krause, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Taeseong Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St # Er, Mineola, NY 11501 Phone: 516-663-2201 | |
Neselda Pabilona Ling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Julie Lyn Costello, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Mrs. Abigail Rose Mcnall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 370, Mineola, NY 11501 Phone: 516-663-4525 Fax: 516-663-4532 |