| Mr Michael Otibu Aboagye, | |
|
33 Independence Way, Miller Place, NY 11764-2337 | |
| (646) 420-4475 | |
| Not Available |
| Full Name | Mr Michael Otibu Aboagye |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 33 Independence Way, Miller Place, 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 |
|---|---|---|---|
| 1538448501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 649259 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 345351 (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 |
|---|---|---|
| John T Mather Memorial Hospital | 1254237753 | 150 |
| Entity Name | Long Island Community Hospital At Nyu Langone Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417232760 PECOS PAC ID: 9739090051 Enrollment ID: O20031218000695 |
| Entity Name | John T Mather Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376642371 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Otibu Aboagye, 77 Waverly Ave, Apartment 118, Patchogue, NY 11772-2188 Ph: (646) 420-4475 | Mr Michael Otibu Aboagye, 33 Independence Way, Miller Place, NY 11764-2337 Ph: (646) 420-4475 |
Christina Calisi, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 191 Harrison Ave, Miller Place, NY 11764 Phone: 631-708-6956 | |
Donna Elizabeth Orelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Old Orchard Way, Miller Place, NY 11764 Phone: 631-804-6546 | |
Rosalie Banovich, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 Route 25a Ste 209, Miller Place, NY 11764 Phone: 631-445-6881 Fax: 631-849-4926 | |
Mrs. Virginia T Czimber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Radio Ave, Miller Place, NY 11764 Phone: 631-821-8911 Fax: 631-821-8912 | |
Mrs. Michele Karen Kadet-tocher, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 Route 25a Ste 10, Miller Place, NY 11764 Phone: 631-821-4202 Fax: 631-821-7371 | |
Ms. Patricia R Macdonald, MSN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 464 Route 25a, Miller Place, NY 11764 Phone: 631-642-2200 Fax: 631-642-2195 | |
Mr. Alberto A Ahumada, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 Route 25a, Miller Place, NY 11764 Phone: 631-849-3110 |