| Mr Ebenezer Premkumar Thangavelu, NP | |
|
143 S 9th St, Lindenhurst, NY 11757-4523 | |
| (516) 983-5754 | |
| Not Available |
| Full Name | Mr Ebenezer Premkumar Thangavelu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 143 S 9th St, Lindenhurst, 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 |
|---|---|---|---|
| 1780673228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F 302708-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gurwin Certified Home Health Agency | Commack, NY | Home health agency |
| North Shore University Hospital | Manhasset, NY | Hospital |
| St Francis Hospital, Roslyn | Roslyn, NY | Hospital |
| Plainview Hospital | Plainview, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Long Island Medical Services P.c. | 3476619867 | 6 |
| Entity Name | Long Island Medical Services P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841443538 PECOS PAC ID: 3476619867 Enrollment ID: O20090310000537 |
| Entity Name | Fulton Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424 |
| Entity Name | Nassau Medical Home Visits PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104270198 PECOS PAC ID: 8921390121 Enrollment ID: O20160708000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ebenezer Premkumar Thangavelu, NP 143 South 9th Street, Lindenhurst, NY 11757 Ph: (631) 957-1859 | Mr Ebenezer Premkumar Thangavelu, NP 143 S 9th St, Lindenhurst, NY 11757-4523 Ph: (516) 983-5754 |
Kelly A Hallahan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Granada Pkwy, Lindenhurst, NY 11757 Phone: 631-609-7102 |
Dominique Dorothy Block, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy Ste A, Lindenhurst, NY 11757 Phone: 631-429-3673 |
Kayla Gaynor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Sunrise Hwy Ste 201, Lindenhurst, NY 11757 Phone: 631-444-5544 |
Alicia Gatti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy, Lindenhurst, NY 11757 Phone: 516-658-7564 |
Miss Robyn Josephine Becker, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 578 N Wellwood Ave, Lindenhurst, NY 11757 Phone: 631-786-0753 |
Dianna Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Route 109 Ste A, Lindenhurst, NY 11757 Phone: 631-991-3235 Fax: 631-631-3970 |
Kelsey Raffaela Koetzner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N Wellwood Ave Ste 3, Lindenhurst, NY 11757 Phone: 631-226-4342 |