| Dr Peter John Mancuso, DPM | |
|
620 Suffolk Ave, Brentwood, NY 11717-4306 | |
| (631) 231-1401 | |
| (631) 273-0125 |
| Full Name | Dr Peter John Mancuso |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 620 Suffolk Ave, 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 |
|---|---|---|---|
| 1558339200 | NPI | - | NPPES |
| 02049347 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | N0056351 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Provider Name | Ny Foot & Ankle Specialist Dpm Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851472419 PECOS PAC ID: 1850398777 Enrollment ID: O20061107000124 |
| Provider Name | North Shore-lij Medical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Provider Name | Optimum Podiatry Group Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912777954 PECOS PAC ID: 8426492265 Enrollment ID: O20240220001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter John Mancuso, DPM 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 231-1401 | Dr Peter John Mancuso, DPM 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 231-1401 |
Ny Foot & Ankle Specialists Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 | |
Ny Foot & Ankle Specialist Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 | |
Optimum Podiatry Group Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-968-5600 |