227-19 MERRICK BLVD
LAURELTON, NY 11413 US PECOS Enrolled
Emerth Lance Coburn
Internal Medicine Physician
- LAURELTON, NY
- Phone: (718)-276-4482
- Last Updated 7/12/2012
Overview
Emerth Lance Coburn is a Internal Medicine Physician in the LAURELTON area. Emerth Lance Coburn primary office location is at 227-19 MERRICK BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1477544096 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 198832 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 01617674 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | NY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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