Colleen Mccloy (NPI# 1568411387, PAC ID# 3476577370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1568411387 |
PAC ID by PECOS | 3476577370 |
Professional Enrollment ID | I20060118000758 |
Full Name | Colleen Mccloy |
Organization Legal Name | GENERAL SURGERY ASSOCIATES LLC |
Address |
226 N Belle Mead Ave C East Setauket NY 11733-3524 |
Phone Number | 6317060018 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 1994 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 4486546520 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
330246 | ST CHARLES HOSPITAL |
Address | Phone | Organization |
---|---|---|
226 N Belle Mead Ave C, East Setauket, NY 11733-3524 | 6317060018 | GENERAL SURGERY ASSOCIATES LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | GENERAL SURGERY ASSOCIATES LLC |
Physicians | 1 |
Street Address |
226 N BELLE MEAD AVE C |
City | EAST SETAUKET |
State | NY |
Zip | 11733-3524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bernice Kornfield Premisler | Clinical Social Worker | 764 Route 25a 8, East Setauket, NY 11733-1231 | |
Suzanne J Ennis | Clinical Social Worker | 5 Blueberry Ridge Rd, Setauket, NY 11733-1503 | |
Susan G Simms | Clinical Social Worker | 16 Storybook Ln, East Setauket, NY 11733-1727 | |
Kathleen Rogers | Clinical Social Worker | 3 Fox Hollow Rd, East Setauket, NY 11733-1811 | |
Natalie L Shapiro | Clinical Social Worker | 14 Thornwood Way, East Setauket, NY 11733-1825 | |
Charles Levine | Chiropractic | 151 Gnarled Hollow Rd, East Setauket, NY 11733-1955 | |
James E Townsend | Psychiatry | 100 S Jersey Ave, Suite 1, East Setauket, NY 11733-2035 | |
Nancy M Rosenberg | Clinical Social Worker | 100 S Jersey Ave, Unit 1, East Setauket, NY 11733-2035 | |
John A Ippolito | Rheumatology | 100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036 | |
Christopher Ng | Family Medicine | 100 S Jersey Ave, Suite 14, Setauket, NY 11733-2036 | |
Find all physicians in zip 11733 |
City | EAST SETAUKET |
Zip Code | 11733 |
Specialty | GENERAL SURGERY |
City + Specialty | EAST SETAUKET + GENERAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.