| Atlantic W Medical Care Pllc | |
|
489 Atlantic Ave Brooklyn NY 11217-2985 | |
| (718) 489-1130 | |
| Not Available |
| Full Name | Atlantic W Medical Care Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 489 Atlantic Ave, Brooklyn, New York |
| Authorized Official Name and Position | Matthew Wert (OWNER) |
| Authorized Official Contact | 7184891130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic W Medical Care Pllc 489 Atlantic Ave Brooklyn NY 11217-2985 Ph: () - | Atlantic W Medical Care Pllc 489 Atlantic Ave Brooklyn NY 11217-2985 Ph: (718) 489-1130 |
| NPI Number | 1457968299 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 2769897271 |
|---|---|
| Medicare Enrollment ID | O20210216000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457968299 | NPI | - | NPPES |
| Provider Name | Juan Carlos Robles |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508046871 PECOS PAC ID: 2264512672 Enrollment ID: I20080110000100 |
| Provider Name | Joshua W Bonsell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295939676 PECOS PAC ID: 4486753092 Enrollment ID: I20091215000018 |
| Provider Name | Matthew R Kohler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831480839 PECOS PAC ID: 5193019354 Enrollment ID: I20160810001870 |
| Provider Name | Rajivan Maniam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639460132 PECOS PAC ID: 0042526741 Enrollment ID: I20200124000565 |
| Provider Name | Catherine E Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508353640 PECOS PAC ID: 8022364819 Enrollment ID: I20220721002767 |
| Provider Name | Patrick A Couchot |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730649872 PECOS PAC ID: 0244639599 Enrollment ID: I20241224000563 |
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