Black Hall Dental PC

PAC ID

6901283308The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice

Enrolled in

NY

Enrollments

3

Group size

8 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

7In 4 places

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Black Hall Dental, P.C.

  • Dentist
  • Glen Cove, NY
  • NPI 1306698840
• Black Hall Dental, P.C.

  • Dentist
  • New Hyde Park, NY
  • NPI 1336991876
• Black Hall Dental, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Manhasset, NY
  • NPI 1356091516

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (8).

• Theresa C Fan, D.D.S.

  • General Practice Dentistry
  • Manhasset, NY
  • NPI 1306921820
• John Edward Fantasia, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • New Hyde Park, NY
  • NPI 1730258286
• Laurent Ganry

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Hyde Park, NY
  • NPI 1275054785
• David L Hirsch, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1124038427
• Robert Douglas Kelsch, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • New Hyde Park, NY
  • NPI 1972505493
• Monika Patel

  • Oral and Maxillofacial Surgery (Dentist)
  • Staten Island, NY
  • NPI 1457885923
• Peter Evan Protzel, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bethpage, NY
  • NPI 1700802980
• Elisheva Aziza Rosenfeld, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Garden City, NY
  • NPI 1053571463
• Stephen Roth, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Baltimore, MD
  • NPI 1083187538
• Andrew Raymond Salama, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boston, MA
  • NPI 1386788479
• Kathleen Schultz

  • Oral and Maxillofacial Pathology Dentistry
  • New Hyde Park, NY
  • NPI 1043633365
• Megan Alise Sullivan

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Hyde Park, NY
  • NPI 1790272466

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.