Primary Care Doctor
4.65
·354 reviews
I have not seen him.yet but I'm sure I will like him - Jul 23, 2025 by Denise R.Click to read more
In-network · Aetna
Accepting new patientsExpertise in cardiac catheterization + 3 more
Next available: today
315 verified Aetna Doctors in Monticello, NY
Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients.
In-network providers
Availability last updated 10/23/2026
Availability last updated 10/23/2026
Family Nurse Practitioner
3.49
·57 reviews
I thought I booked an appointment with a dermatologist. This NP was pulled up when I put skin cancer screening. She was very polite and so was all the other office staff. The room was cold and there was a dirty dressing on the floor. I waited over an hour to see this provider. They dont have a c...Click to read more
In-network · Aetna
Accepting new patients ·
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Ms. Shellene Napier-Martin is a family nurse practitioner based in New York. She provides in-person services at Epic Heart and Vascular Care in Port Jervis, Newburgh, and Monticello.
Ms. Napier-Martin earned a master's degree in family health nursing from Mount Saint Mary College as part of her for...Click to read more
Next available: today
Family Nurse Practitioner
In-network · Aetna
Accepting new patients ·
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Ms. Rosa Armstrong is a New York-based nurse practitioner who specializes in cardiology. She sees patients at Epic Heart and Vascular Care in Newburgh, Port Jervis, Middletown, and Monticello.
As part of her formal education, Ms. Armstrong acquired a master's degree in nursing from St. John Fisher ...Click to read more
Next available: today
Physician Assistant
4.52
·23 reviews
My appointment went amazing the doctors and nurses were really nice and caring and they actually listen to how your feeling - Aug 1, 2025 by Kristina G.Click to read more
In-network · Aetna
Accepting new patients
Next available: today
Primary Care Doctor
4.95
·333 reviews
She is just a great doctor, caring and understanding. Will not give her up for anything, just love her.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time · Expertise in chronic high blood pressure + 9 more ·
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**Dr. Lunique Denis is accepting patients only 12 years and above.**
This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Dr. Lunique Denis is a friendly and compassionate family physician caring for the Rock Hill, NY co...Click to read more
Urgent Care Clinic
4.29
·48 reviews
N/A - Jul 11, 2024 by Lillian K.Click to read more
In-network · Aetna
Accepting new patients ·
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With life's unexpected twists and turns-like high fevers, common sprains, or sore throats-Crystal Run Healthcare understands that accidents and illnesses can occur without warning. For after-hours medical concerns that are non-life threatening, such as a cut that needs stitches, broken bones of the ...Click to read more
Next available: today
Adult Nurse Practitioner
4.00
·4 reviews
Took one hour to be seen, second time this week. Doctor is just amazing. - Sep 26, 2026 by Jairo M.Click to read more
In-network · Aetna
Accepting new patients ·
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Ms. Grace Guh is an adult nurse practitioner at Epic Heart And Vascular Care in Port Jervis, Newburgh, and Monticello NY. She accepts patients aged 18 and above with common illnesses, chronic diseases, and minor injuries.
Ms. Guh understands patients' conditions and prepares individualized treatmen...Click to read more
Next available: Wed, Oct 28
Family Nurse Practitioner
4.60
·252 reviews
I felt so taken care of! Thank you! Everyone gave me amazing care. by ADClick to read more
In-network · Aetna
Accepting new patients · Expertise in high cholesterol + 2 more ·
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Ms. Marion Hayes is a family nurse practitioner at Epic Heart And Vascular Care in Port Jervis, Newburgh, and Monticello, NY. She accepts patients of all ages and genders with common illnesses and chronic diseases. She also offers complete mental health support and minor injury care.
Ms. Hayes un...Click to read more
Next available: Wed, Oct 28
Pediatrician
4.96
·83 reviews
Dr. Al-Qaisi is always so kind, compassionate, and professional. - Aug 5, 2020 by Alyson D.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Dr. Anmar Al-Qaisi is a dedicated pediatrician, working towards creating a better healthcare environment in Rock Hill, NY. He is certified by the American Board of Pediatrics...Click to read more
Next available: Mon, Oct 26
Family Nurse Practitioner
4.74
·35 reviews
I highly recommend NP Gillmer, she was warm yet professional, listened, was thorough and knowledgeable. Do not hesitate to book your appt with her.Click to read more
In-network · Aetna
Accepting new patients · Excellent wait time ·
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When my grandmother got sick, I remember the nurses and providers who took care of her, and that inspired me to become someone who helps others. From that moment, I knew healthcare was where I wanted to be.
I enjoy family health, especially primary care, because I see the difference I can make in a...Click to read more
Next available: Wed, Oct 28
Family Nurse Practitioner
4.58
·66 reviews
Crystal Run Medical Group were fast, efficient and honest. Great experience - Mar 22, 2021 by Nicholas P.Click to read more
In-network · Aetna
Accepting new patients · Expertise in emphysema (copd) + 9 more ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Ms. Heidi Pavese graduated from the State University of New York, Stony Brook, where she earned her master's degree in nursing with a specialization in family nursing. She ...Click to read more
Next available: Thu, Oct 29
Family Nurse Practitioner
4.63
·43 reviews
Very good gave me important information I didn't know about. by KJClick to read more
In-network · Aetna
Accepting new patients · Expertise in underactive thyroid + 4 more ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Ms. Becky Heins practices at Crystal Run Healthcare, serving the community of Rock Hill, NY. She is a trusted family nurse practitioner who completed her master’s degree ...Click to read more
Next available: Fri, Oct 30
Pediatrician
4.86
·94 reviews
very thorough, very informative, took her time with us, didn't feel rushed - Jul 27, 2022 by Joanne L.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Dr. Florence Lazaroff is a considerate and accomplished pediatrician in Rock Hill, NY. Dr. Lazaroff obtained her medical degree from Saint Petersburg State Pediatric-Medical ...Click to read more
Next available: Mon, Nov 2
Internist
4.93
·105 reviews
Very personable and knowledgeable. He listened to my questions and gave good answers. I did not feel rushed - Oct 6, 2021 by Marc K.Click to read more
In-network · Aetna
Accepting new patients · 25 years of experience · Highly recommended · Expertise in chronic anemia + 9 more ·
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This provider only sees patients w/ in-network benefits or self-pay. All other bookings are subject to cancellation.
Dr. Laurence Tawil is a dedicated and caring internist based in Rock Hill, NY. Dr. Tawil attended his medical school at the Ross University School of Medicine. He then finished his r...Click to read more
Next available: Tue, Nov 3
Nurse Practitioner
4.89
·98 reviews
Morgan is exceptional she listens to her patients and is very professional. We just love her. - Jun 15, 2022 by Nancy H.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time · Expertise in upper respiratory infection (uri) + 4 more ·
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This provider only sees patients with in-network benefits or accepts cash-only payments. All other bookings are subject to cancellation. Please only book a follow-up appointment if you are an existing patient. If you are a new patient booking a follow-up appointment, the appointment will be canceled...Click to read more
Next available: Tue, Dec 8
Infectious Disease Specialist
4.69
·49 reviews
Friendly doctor. Familiar with him from hospital visits. - Dec 4, 2024 by George B.Click to read more
In-network · Aetna
Accepting new patients · 25+ years of experience · Excellent wait time · Expertise in hiv/aids + 1 more ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Anousheh Ghezel-Ayagh is a trusted and dependable infectious disease specialist based in Middletown, Rock Hill, and Newburgh, NY. Dr. Ghezel-Ayagh obtained his medical degree...Click to read more
Next available: Thu, Dec 3
Infectious Disease Specialist
4.78
·80 reviews
Really appreciated Dr Malloy and Melissa’s professionalism and kindness. - Jun 9, 2025 by Yosub K.Click to read more
In-network · Aetna
Accepting new patients · 22 years of experience · Excellent wait time · Expertise in lyme disease + 2 more ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Dr. Malloy Nair is a considerate and trusted infectious disease specialist serving the communities of Newburgh, Middletown, Rock Hill, and Warwick, NY. Dr. Nair attended the ...Click to read more
Next available: Thu, Dec 10
Internist
4.90
·117 reviews
Dr. Selbo was avery good listener- He provided me with answers to my condition. He was extremely professional. - Jun 9, 2017 by Rachael R.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time · Expertise in coronary artery disease + 9 more ·
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This provider only sees patients w/ in-network benefits or self-pay. All other bookings are subject to cancellation.
Scot Selbo is a caring and diligent internist based in Rock Hill, NY. He earned his medical degree from the American University of the Caribbean School of Medicine in Sint Maarten. H...Click to read more
Primary Care Doctor
5.00
·12 reviews
Wonderful experience. Dr. listened to everything I wanted to talk about. Office is clean and staff friendly. - Oct 12, 2026 by Desire' H.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
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Current and valid insurance information / Member ID are required when you book your appointment! Please submit through ZocDoc or provide to the practice ASAP upon booking your slot.
Medicine comes with plenty of challenges: insurance hurdles, state and regulatory requirements, and the constant pus...Click to read more
Next available: today
Primary Care Doctor
4.00
·12 reviews
The Best Doctor I Have Ever Seen!
I honestly cannot say enough wonderful things about this doctor. He is, without a doubt, the "best doctor I have ever been to". From the moment I walked in, I felt that I was truly being listened to and cared for.
What stood out to me most was how knowledgeabl...Click to read more
In-network · Aetna
Accepting new patients ·
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Dr. Mohamed Hesham Esmat Ahmed Khorshid is an internist who provides comprehensive care for adult patients. He practices at Crystal Run Healthcare in Middletown, NY.
Dr. Ahmed Khorshid uses a thorough, evidence-based approach tailored to each patient. He is recognized for his attentive bedside mann...Click to read more
Next available: Tue, Oct 27
Primary Care Doctor
4.89
·27 reviews
Dr. George was pleasant, soft caring tone, listened, recommended, and made the visit very comfortable. - Aug 1, 2026 by Maria G.Click to read more
In-network · Aetna
Accepting new patients · 24 years of experience · Highly recommended · Excellent wait time · Expertise in sepsis + 4 more ·
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What made you want to become a health care provider or what is your earliest memory of wanting to be one?
When I was in high school one of our neighbors got injured. My eldest sister who was in Medical school at that time, was able to handle it appropriately. This event helped me to choose this pro...Click to read more
Next available: Tue, Oct 27
Primary Care Doctor
4.74
·179 reviews
Great Dr have been using him for the past 8 years very professional and a caring Doctor very hard to find these days. - Jun 23, 2016 by Robert S.Click to read more
In-network · Aetna
Accepting new patients · Expertise in chronic high blood pressure + 6 more ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Ramzi Tawil is a diligent and reliable family physician serving the community of Middletown, NY. Dr. Tawil earned his Doctor of Medicine degree from Ross University School ...Click to read more
Next available: Tue, Oct 27
Primary Care Doctor
4.53
·32 reviews
I found Dr Mai on here. I’m glad that I did. He’s the BEST! ?? - Jun 9, 2026 by Kervelin R.Click to read more
In-network · Aetna
Accepting new patients · Expertise in chronic diabetes + 2 more ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
I found my calling to become a doctor early on, as I have always wanted to help people. It is very rewarding to see patients feel better from their illnesses-whether acute ...Click to read more
Next available: Thu, Oct 29
Primary Care Doctor
4.72
·94 reviews
Excellent Doctor
I was little upset and she listen to me and help me understand the policy and new york state law - Mar 18, 2025 by Harriett C.Click to read more
In-network · Aetna
Accepting new patients · Expertise in underactive thyroid + 2 more ·
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Dr. Gurvinder Kaur is a family physician and primary care doctor. Based in Middletown, NY, she is currently associated with Crystal Run Healthcare and is known for her professionalism and strong work ethic.
As a part of her educational training, Dr. Kaur attended the Medical University of Silesia F...Click to read more
Next available: Thu, Oct 29
Primary Care Doctor
5.00
·12 reviews
She was very attentive to my concerns and took the time to explain everything thoroughly. I left feeling very satisfied with her detailed explanations. - Nov 26, 2025 by Arminda R.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
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Dr. Yasmine Elfarra is an experienced internist. She offers patient-focused medical care at Crystal Run Healthcare in Middletown, NY.
She completed her medical degree at Rutgers Robert Wood Johnson Medical School and her residency at NewYork-Presbyterian Hospital/Weill Cornell Medicine. She is boar...Click to read more
Next available: Tue, Nov 3
Family Nurse Practitioner
3.55
·22 reviews
Amazing place. The Drs are very caring and I highly recommend - Sep 1, 2026 by Rhonda L.Click to read more
In-network · Aetna
Accepting new patients ·
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Ms. Belinda Valcourt is a highly skilled family nurse practitioner at Epic Heart And Vascular Care. She provides in-person services in Port Jervis, Newburgh, and Monticello, NY.
?Ms. Valcourt acquired her master's degree in adult nurse practitioner from Texas Woman's University. She strives to stay...Click to read more
Next available: today
Primary Care Doctor
4.86
·69 reviews
The nurse staff, Maria, was wonderful...very friendly and personable - Jan 18, 2022 by Therese M.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time · Expertise in high cholesterol + 6 more ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation. Please only book a follow-up appointment if you are an existing patient. If you are a new patient booking a follow-up appointment, the appointment will be cancelled and resc...Click to read more
Next available: Tue, Dec 8
Urgent Care Clinic
4.47
·131 reviews
The service was quick and painless. - Jul 18, 2025 by Jose M.Click to read more
In-network · Aetna
Accepting new patients ·
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With life's unexpected twists and turns-like high fevers, common sprains, or sore throats-Crystal Run Healthcare understands that accidents and illnesses can occur without warning. For after-hours medical concerns that are non-life-threatening, such as a cut that needs stitches, broken bones of the ...Click to read more
Next available: today
Primary Care Doctor
4.39
·46 reviews
This my first appointment with Dr. Dros. I was not dissatisfied. I will return. - May 28, 2025 by Nonna H.Click to read more
In-network · Aetna
Accepting new patients · Expertise in developmental disabilities + 3 more ·
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Dr. Matthew Dros is an internist and primary care doctor in Middletown, NY, practicing at Crystal Run Healthcare.
He earned his Doctor of Medicine degree from St. George's University School of Medicine and completed a residency in Internal Medicine at The Brooklyn Hospital Center in New York, NY....Click to read more
Next available: Tue, Jan 5
Primary Care Doctor
4.81
·144 reviews
Very nice and polite. Not in a rush , listened to my concerns and explained his thoughts and diagnosis. - Oct 20, 2020 by Dennis O.Click to read more
In-network · Aetna
Accepting new patients · 25+ years of experience · Highly recommended · Excellent wait time · Expertise in upper respiratory infection (uri) + 9 more ·
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Please note: Dr. Shawkat G. Massih only sees patients above 5 years of age. This provider only sees patients with in-network benefits or self-pay. All other bookings are subject to cancellation.
Dr. Shawkat G. Massih is a friendly and compassionate family physician based in Middletown and Goshen, N...Click to read more
Family Nurse Practitioner
3.79
·29 reviews
Always use this location, the staff is comforting. - Mar 18, 2026 by Michael D.Click to read more
In-network · Aetna
Accepting new patients · Expertise in chronic diabetes + 1 more ·
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Ms. Shante Brady is a highly trusted family nurse practitioner based in New York. She provides in-person services at Epic Heart and Vascular Care in Port Jervis, Newburgh, and Monticello.
As part of her formal education, Ms. Brady acquired a master's degree in adult nurse practitioner from Dominica...Click to read more
Next available: today
Pediatrician
4.85
·13 reviews
provider saw both my daughthers, she listened to all my concerns and gave me reassurance.
she told me what to expect and when to seek medical attention. - Dec 22, 2023 by Sutherland S.Click to read more
In-network · Aetna
Accepting new patients · Excellent wait time ·
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I have always loved working with children and knew I wanted to dedicate my life and career to helping children and families. When I started as a volunteer in a pediatric ward at a hospital, I knew this was the right fit for me. I earned my Doctor of Medicine degree from St. George's University Schoo...Click to read more
Next available: today
Primary Care Doctor
4.96
·23 reviews
Dr. Mandarano Is extremely knowledgeable and thorough. He took time to explain every step of the treatment plan clearly. 10/10 - Apr 30, 2026 by Michael P.Click to read more
In-network · Aetna
Accepting new patients · 19 years of experience · Highly recommended · Excellent wait time · Expertise in chronic diabetes + 3 more ·
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Dr. Michael Mandarano is a dedicated pediatrician. He sees patients at Northwell Health Primary Care - Western in Dingman's Ferry, PA.
Dr. Mandarano holds a bachelor's degree from Marywood University, a master's degree in biochemistry from The University of Scranton, and a medical degree from Lake ...Click to read more
Next available: Mon, Oct 26
Physician Assistant
4.09
·11 reviews
Great experience always! Highly recommend. - Jul 16, 2026 by Christina T.Click to read more
In-network · Aetna
Accepting new patients ·
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Ms. Manshi Patel is a physician assistant at Crystal Run Healthcare in Middletown, NY. She manages patients with common physical and mental illnesses that affect their quality of life and helps with chronic disease management and minor injury care.
Ms. Patel understands patients' conditions and pre...Click to read more
Next available: tomorrow
Physician Assistant
4.23
·81 reviews
Citali Marin is a very professional PA. She’s a great listener and very knowledgeable. I was diagnosed with tendinitis in my right wrist, it was very painful, there was also a cyst in my wrist she recommended a great brace it helped with the pain. I would highly recommend seeing her if you need to ...Click to read more
In-network · Aetna
Accepting new patients ·
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Ms. Citlalli Marin is a primary care physician assistant. She sees patients at Epic Heart And Vascular Care in Port Jervis, Newburgh, and Monticello, NY.
Ms. Marin is skilled in diagnostic interpretation, patient education, and developing comprehensive treatment plans in collaboration with a multid...Click to read more
Next available: Sun, Oct 25
Pediatrician
4.95
·59 reviews
He’s the best pediatrician out there! He’s very thorough with my children! I’ve been seeing him for 7 years now! - Mar 4, 2019 by Billy V.Click to read more
In-network · Aetna
Accepting new patients · 25+ years of experience · Highly recommended ·
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This provider only sees patients with in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Richard Fuchs is a friendly and compassionate pediatrician serving the community of Middletown, NY. Dr. Fuchs obtained his medical degree from the Sackler School of Medicin...Click to read more
Next available: today
Pediatrician
4.96
·76 reviews
Dr. Lynch is such a caring professional provider.Click to read more
In-network · Aetna
Accepting new patients · 25+ years of experience · Highly recommended · Excellent wait time ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Patricia Lynch is a dedicated and interested pediatrician serving the community of Middletown, NY. Dr. Lynch attended the New York Institute of Technology, New York College o...Click to read more
Next available: today
Physician Assistant
5.00
·9 reviews
Very friendly, great listener! - Sep 2, 2026 by Autumn P.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended ·
Read bio
This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
What made you want to become a health care provider or what is your earliest memory of wanting to be one?
I initially wanted to become a healthcare provider when my aunt was ...Click to read more
Next available: Mon, Oct 26
Family Nurse Practitioner
5.00
·11 reviews
- Aug 5, 2026 by Jessica A.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
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Ms. Kelly Kline is a highly regarded nurse practitioner. She practices at Crystal Run Healthcare in Middletown, NY.
She completed her master's degree in adult health nursing at Mount Saint Mary College. She stays current with medical advancements and incorporates them into her treatment plans.
Ple...Click to read more
Next available: Mon, Oct 26
Pediatrician
4.94
·100 reviews
Very good doctor and very nice staff. Highly recommended - Jul 27, 2017 by Alyssa S.Click to read more
In-network · Aetna
Accepting new patients · Highly recommended · Excellent wait time ·
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This provider only sees patients w/ in-network benefits or accepts self-pay. All other bookings are subject to cancellation.
Samatha Bagam is a friendly and warm pediatrician caring for the Middletown, NY community. Dr. Bagam earned her medical degree from Sri Devaraj Urs Medical College in Karnata...Click to read more
Next available: Mon, Oct 26
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How can I make a same-day appointment with a Primary Care Doctor in Monticello who takes Aetna insurance?
On average, patients who use Zocdoc can search for a Primary Care Doctor in Monticello who takes Aetna insurance, book an appointment, and see the Primary Care Doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of Doctors in Monticello who accept Aetna insurance and make an appointment online.
How can I find a Primary Care Doctor in Monticello who takes Aetna?
Zocdoc lets you search specifically for a Primary Care Doctor in Monticello who takes Aetna. Just choose your carrier and plan from the drop-down menu at the top of the page. If you’re not sure which plan you have, you can use Zocdoc’s insurance checker to find out.
How can I book an appointment online with an Aetna Primary Care Doctor in Monticello?
Zocdoc is a free online service that helps patients find Aetna Doctors in Monticello and book appointments instantly. You can search for Aetna Doctors in Monticello by symptom or visit reason. Based on that information, you’ll see a list of providers who meet your search criteria, along with their available appointment slots.
How can I find a female Primary Care Doctor in Monticello who takes Aetna insurance?
When you search for Aetna Doctors in Monticello on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Aetna Doctors in Monticello who match your preferences.
How can I find an Aetna Primary Care Doctor in Monticello who sees patients after hours?
On Zocdoc, you can search specifically for Aetna Doctors in Monticello with availability after 5 p.m.
How can I find a top-rated Aetna Primary Care Doctor in Monticello?
You can use Zocdoc to find Aetna Doctors in Monticello who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, they’re invited to review their experience. Each review must comply with Zocdoc’s guidelines.
How can I find a video visit with a Primary Care Doctor online in Monticello?
Doctors in Monticello on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search results to show only Doctors who offer video visits.
Are video visits with a Primary Care Doctor online covered by Aetna?
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors in Monticello who accept Aetna for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
How can I find an Aetna Primary Care Doctor in Monticello who sees patients in the morning or evening?
Zocdoc lets you search specifically for a Primary Care Doctor who has appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page.
How can I find an Aetna Primary Care Doctor in Monticello who sees patients during the weekend?
Zocdoc let's you see real-time availability for Aetna Doctors in Monticello. Many Aetna Doctors offer appointments on Saturdays and Sundays.