| Mpepera Simango-yiadom, | |
|
101 Nicolls Rd Dept Of, Stony Brook, NY 11794-0001 | |
| (631) 444-2037 | |
| Not Available |
| Full Name | Mpepera Simango-yiadom |
|---|---|
| Gender | Female |
| Speciality | Podiatrist |
| Location | 101 Nicolls Rd Dept Of, Stony Brook, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902460942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 01730 (Maryland) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Ambulatory Surgical Center |
| Provider Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Mpepera Simango-yiadom, 1304 Cedarcroft Rd, Baltimore, MD 21239-2001 Ph: () - | Mpepera Simango-yiadom, 101 Nicolls Rd Dept Of, Stony Brook, NY 11794-0001 Ph: (631) 444-2037 |
John Tsouris, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1363 Stony Brook Rd, Stony Brook, NY 11790 Phone: 631-751-4603 Fax: 631-751-8166 | |
Dr. Christopher M Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Michael Sangwoo An, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Dr. Jeffrey A Fishman, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 38 Stratton Ln, Stony Brook, NY 11790 Phone: 631-751-3118 | |
Mitchell L. Steinberg D.p.m., Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-751-6665 Fax: 631-751-6833 | |
Dr. Peter Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 207 Hallock Rd, Suite 4, Stony Brook, NY 11790 Phone: 631-689-2300 Fax: 631-689-2078 |