East End Geriatric & Adult Medicine Pllc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Southold, New York. The current practice location for East End Geriatric & Adult Medicine Pllc is 50 Ackerly Pond Lane, Southold, New York. For appointments, you can reach them via phone at
(631) 765-1414. The mailing address for East End Geriatric & Adult Medicine Pllc is Po Box 1437, Southold, New York and phone number is (631) 765-1414.
East End Geriatric & Adult Medicine Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1851367304. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(631) 765-1414.
Primary Care Clinic Profile
| Full Name | East End Geriatric & Adult Medicine Pllc |
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| Speciality | Internal Medicine |
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| Location | 50 Ackerly Pond Lane, Southold, New York |
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| Authorized Official Name and Position | Jay P Slotkin (PRESIDENT) |
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| Authorized Official Contact | 6317651414 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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East End Geriatric & Adult Medicine Pllc
Po Box 1437
Southold
NY 11971-0938
Ph: (631) 765-1414 | East End Geriatric & Adult Medicine Pllc
50 Ackerly Pond Lane
Southold
NY 11971-3005
Ph: (631) 765-1414 |
NPI Details:
| NPI Number | 1851367304 |
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| Provider Enumeration Date | 02/24/2006 |
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| Last Update Date | 07/03/2012 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9638131964 |
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| Medicare Enrollment ID | O20041029000445 |
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Medical Identifiers
Medical identifiers for East End Geriatric & Adult Medicine Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851367304 | NPI | - | NPPES |
| DD8034 | Other | NY | RAIL ROAD MEDICARE |
| 02632497 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | 23013867 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
East End Geriatric & Adult Medicine Pllc acts as a billing entity for following providers:
| Provider Name | Jay Philip Slotkin |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1780650226
PECOS PAC ID: 2365432093
Enrollment ID: I20040514000967 |
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