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Five Towns Neurology PC

923 Broadway  Woodmere, NY  11598

516 239 1800  Fax: 516 295 5557

COMPREHENSIVE

CARE

SERVICES

PRACTITIONERS

INSURANCE PLANS

WHAT WE TREAT

WORLD CLASS CARE - CLOSE TO HOME!

OUR SERVICES

INSURANCES ACCEPTED

THE FOLLOWING LIST REPRESENTS SOME BUT NOT ALL OF THE INSURANCE PLANS WE ACCEPT AT FIVE TOWNS NEUROLOGY AND PHYSICAL MEDICINE, VILLAGE OPEN MRI, SPOTLIGHT PHYSICAL THERAPY AND WOODMERE SLEEP CENTER.

 

PLEASE BE AWARE THAT WITH THE CHANGING HEALTHCARE LANDSCAPE PLANS CHANGE CONSTANTLY AS DOES OUR FULL PARTICIPATION

 

GIVEN THE WIDE RANGE OF SERVICES WE OFFER, NOT ALL PLANS COVER EVERY SERVICE AT A GIVEN TIME - OUR STAFF WILL WORK CLOSELY WITH YOU AND DO ALL WE CAN TO PROVIDE YOU THE NECESSARY SERVICES YOU NEED AND DO ALL WE CAN TO ACCEPT WHATEVER COVERAGE YOU MAY HAVE

 

PLEASE REMEMBER THAT MANY PLANS HAVE HIGH DEDUCTIBLES THAT WE ARE NOT PRIVY TO AND OFTEN SERVICES ARE CONSIDERED "COVERED" EVEN WITH THESE HIGH DEDUCTIBLES

 

INSURANCE REGULATIONS REQUIRE WE COLLECT COPAYS AT TIMES OF SERVICE AND WE ARE IN VIOLATION OF OUR CONTRACTS NOT TO DO SO

 

WE ENCOURAGE YOU TO CALL OUR OFFICE EVEN IF YOUR PLANS IS NOT LISTED AS WE OFTEN CAN WORK WITH MOST PATIENTS TO ACCEPT WHATEVER INSURANCE THEY HAVE REGARDLESS OF EVEN IN THE RARE OCCASION WE MAY BE "OUT OF NETWORK"

AETNA

AFFINITY

AMERICHOICE

AMERIGROUP

BLUE CROSS/BLUE SHIELD

CARECONNECT

CIGNA

ELDERPLAN

EMPIRE PLAN

FIDELIS

GHI

GREATWEST

HEALTH REPUBLIC

HEALTHNET

HEALTHFIRST

HEALTHPLUS

HIP

HCPIPA

LIABILITY CASES

LIBERTY HEALTH ADVANTAGE

LIBERTY HEALTHCARE PARTNERS

LOCAL UNION

MAGNACARE

MEDICAID

MEDICARE

MULTIPLAN

METROPLUS

NATIONAL BENEFIT'S FUND/ 1199

NO FAULT

OSCAR

OXFORD

TOUCHSTONE

UNITED HEALTHCARE

UNITED HEALTHCARE COMMUNITY PLAN

VNS

WELLCARE

WORKER'S COMPENSATION

 

Questions About Your Bill

 

What billing or insurance information will I receive?

​You will receive a copy of your bill. After your insurance has paid, we'll provide you with a monthly statement of your account.

 

How long will it take to get things settled with the insurance company?

Generally, it takes from 45 to 60 days to obtain payment from an insurance carrier.

 

​Why am I getting bills from your office?

​Our office will bill for services rendered and for any obligation you may have once your insurance company has paid what they are obligated to under your insurance plan and agreement with the insurer (copays, deductibles and certain non-covered services may be directly billable to you based on your plan)

 

In the event our office sends you for testing outside of our office, we always try to make sure that we are sending you for insurance covered services, HOWEVER we cannot be 100% responsible for billing that may come directly from an outside office and as insurance rules and regulations change time to time work outside of this office always remains between your insurance company, yourself and the outside entity.

 

We cannot be responsible for authorizations that were obtained for and through your insurance yet in fact, for whatever reason, you were not actually insured at the time of service (this can and does happen more often then we would all expect). Remember that in the end while we put our patient care first, we are also not a government agency nor a non-profit and often the fees we charge the insurance company just help us with operating expenses - we appreciate your understanding regarding this.

 

I received a notice that my insurance company has paid on my bill -- but I can't understand how they calculated their payment amount. Do you know?

​If we have received any such information from your insurance company, we'll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.

Payment Policy

 

Medical services are provided and billed by Five Towns Neurology, PC which may be billed as Five Towns Neurology & Physical Medicine, Village Open MRI, Woodmere Sleep Center, Spotlight PT and/or Five Towns Neuroscience Research.

 

We participate in most all of the major health insurance plans in the region.

 

If for any reason your plan is not listed we encourage you to call our office as many plans change on a regular basis and are updated constantly. in most instances we can see patients on a fee-for-service basis and provide you with a bill/receipt to submit to your insurer which often may be paid for in full.

 

Please be aware that with any health plans, there may be deductibles and copayments for which you could be responsible.

WHAT DO WE TREAT?

JUST ABOUT EVERYTHING IMAGINABLE.....

In addition to all we treat, we also offer:

 

> Peer Review and Insurance Medical Evaluations

> Medical-Legal Services, Evaluations and Expert Testimony

> Consultations on Drug Development and Study Design & Execution

> Second Opinion Services

 

ALS (Lou Gerhig's disease)  -  Alzheimer's Disease - Aphasia Apraxia- Arteriovenous Malformation - Asperger's Syndrome

 Ataxias and Cerebellar or Spinocerebellar Degeneration - Atrial Fibrillation and Stroke -Attention Deficit-Hyperactivity Disorder  Autism -Autism Spectrum Disorder - Back Pain - - Bell's Palsy Benign Essential Blepharospasm - Brachial Plexus Injuries - Brain and Spinal Tumors - Carpal Tunnel Syndrome - Cerebellar Degeneration - Cerebral Aneurysms - Cerebral Arteriosclerosis Cerebral Atrophy - Cerebral Palsy - Charcot-Marie-Tooth Disease Chiari Malformation - Chorea - Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) -Chronic Pain - Coma Complex Regional Pain Syndrome - Congenital Myasthenia Dementia - Diabetic Neuropathy - Dysautonomia - Dysgraphia Dyslexia - Dystonias -  Empty Sella Syndrome - Encephalopathy Epilepsy - Essential Tremor - Familial Periodic Paralysis

 Febrile Seizures - Foot Drop - Friedreich's Ataxia

Frontotemporal Dementia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gerstmann's Syndrome - Guillain-Barré Syndrome - Headache Hemicrania Continua - Hemifacial Spasm - Hereditary Neuropathies - Hereditary Spastic Paraplegia - Herpes Zoster Oticus - Huntington's Disease- Hydrocephalus - Hypersomnia Hypertonia - Hypotonia - Inclusion Body Myositis - Incontinentia Pigmenti - Inflammatory Myopathies - Lambert-Eaton Myasthenic Syndrome - Learning Disabilities -  Meningitis and Encephalitis Menkes Disease - Meralgia Paresthetica - Migraine - Miller Fisher Syndrome - Mitochondrial Myopathies - Motor Neuron Diseases Multi-Infarct Dementia - Multifocal Motor Neuropathy - Multiple Sclerosis - Multiple System Atrophy - Multiple System Atrophy with Orthostatic Hypotension - Muscular Dystrophy - Myasthenia Gravis - Myoclonus - Myopathy - Myotonia - Myotonia Congenita Narcolepsy - Neurofibromatosis - Neuroleptic Malignant Syndrome - Neurological Complications of AIDS - Neurological Complications of Lyme Disease - Neurological Consequences of Cytomegalovirus Infection - Neurological Sequelae of Lupus Neuromyelitis Optica - Neuronal Migration Disorders Neurosarcoidosis - Neurosyphilis - Neurotoxicity - Niemann-Pick Disease - Normal Pressure -  Hydrocephalus - Occipital Neuralgia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Olivopontocerebellar Atrophy -  Orthostatic Hypotension Paraneoplastic Syndromes - Paresthesia - Parkinson's Disease Paroxysmal Choreoathetosis - Paroxysmal Hemicrania

Peripheral Neuropathy - Periventricular Leukomalacia - Pervasive Developmental Disorders - Pinched Nerve - Piriformis Syndrome Pituitary Tumors - Polymyositis - Post-Polio Syndrome Progressive Multifocal Leukoencephalopathy - Progressive Supranuclear Palsy -  Pseudotumor Cerebri - Psychogenic Movement - Refsum Disease - Repetitive Motion Disorders Restless Legs Syndrome - Shingles - Sjögren's Syndrome - Sleep Apnea - Spasticity - Spina Bifida - Spinal Cord Infarction - Spinal Cord Injury - Stiff-Person Syndrome - Striatonigral Degeneration - Stroke - Sturge-Weber Syndrome - Subacute Sclerosing Panencephalitis - SUNCT Headache - Swallowing Disorders Sydenham's Chorea - Syncope - Syringomyelia - Tabes Dorsalis Tardive Dyskinesia -  Thoracic Outlet Syndrome - Thyrotoxic Myopathy - Todd's Paralysis - Tourette's Syndrome - Transient Ischemic Attack - Transverse Myelitis - Traumatic Brain Injury Tremor - Trigeminal Neuralgia - Tropical Spastic Paraparesis  Tuberous Sclerosis - Vasculitis Syndromes of the Central and Peripheral Nervous Systems - Von Hippel-Lindau Disease (VHL) - Wallenberg's Syndrome - Wernicke-Korsakoff Syndrome -  Whiplash -  Wilson Disease - Zellweger Syndrome

TESTS WE DO

 

 

 

 

 

 

 

 

 

 

 

EEG

  • 30 min EEG
    • Reason for test: To look for epilepsy/seizures by listening to the waves the brain creates - epileptic activity looks different than regular brain wave activity
    • How it's done:
      • Using a cap or light gel/adhesive tiny electrodes that act as microphones to listen to brain waves are placed over the head in a specific pattern
      • A computer then analyzes waves coming from the brain to help determine any abnormalities.
      • You may be asked to breathe faster (hyperventilate) or see strobe light flashes that are known to trigger seizures
    • What to know before you come:
      • Electrodes need to be placed on your head and placed through your hair; weaves, hairpieces and overall hairdos can get in the way of this.
      • Since gel is used to attach the electrodes to the scalp you may want to shampoo your hair after the test.
    • Time factor:
      • 30 minute EEG's take from some 45 minutes to 1 hour to perform including setup and removal of electrodes.
    • Fear Factor: Really none - just have to be able to sit through - often patients even fall asleep during the test - for children who have trouble sitting still this could be the biggest challenge.
  • Extended EEG (40-60 minutes)
    • Reason for the test: As with 30 minute EEG - looks for abnormal brain waves that could represent epilepsy - longer study so more brain waves can be studied.
    • ALL OTHER ISSUES SAME AS FOR 30 MINUTE EEG except for an additional 30 minutes needed for the extra testing time required.
  • Ambulatory 48 Hour Video EEG
    • Reason for the test:
      • As with previous EEG's, again we are looking for abnormal brain waves that could be seizures.
      • Ordered when there is a suspicion or concern for seizures and/or to clarify results of previous normal or abnormal EEG's.
    • How it's done:
      • Just like the previous EEG's, only stronger adhesive is used so that you can keep the cap/electrodes on for 48 hours.
      • You wear an EEG recording device and carry with you a video camera that syncs with the recording so that we can not only read your brainwaves, but compare with real time video of you during the record.
    • What to know before you come:
      • Electrodes need to be placed on your head and placed through your hair; weaves, hairpieces and overall hairdos can get in the way of this.
      • You must wear a cap for the duration of the test during the day and night and while you can bathe you cannot shower with the cap on your head.
    • Time Factor:
      • Setting up the study in the office can take up to one hour while removal at the end of the study can take another 30 minutes.
      • While we generally speak of a 48 hour (2 night) at home video EEG, at times the office will set patients up for as little as 24-hour or as long as 72-hour (3 night) EEG video ambulatory studies.
    • Fear Factor:
      • No pain, just small electrodes placed over scalp that act like microphones to listen to your neurons
      • Being prepare to explain to others why you are wearing a cap.
      • While you take a video camera with you that should be used as much as possible you can clearly limit the camera to areas that are reasonable for us to see - your privacy can always remain paramount.

SLEEP STUDIES

  • In House Polysomnography (PSG) Sleep Study
    • Reason for the test:
      • Excessive daytime sleepiness, snoring, insomnia, falling asleep easily during the day.
      • Determine the integrity of your sleep to see if you might be able to benefit from possible intervention with a CPAP machine and mask (that may make it easier for you to sleep at night) or other intervention and solutions that may help you sleep better.
      • Can also help determine if you have restless leg syndrome or any abnormal movement during sleep.
    • How it's done:
      • You sleep overnight in our office arriving around 9pm and waking up before 6am with your sleep monitored by an all-night technician.
      • Electrodes are hooked up to your head to measure brain waves and to also measure your breathing throughout the night.
    • What to know before you come:
      • Bring a comfortable pair of pajamas - you will usually be up and able to leave by 6am but you may want to return to change clothes and shower before going to work the next day.
      • Even despite sleeping in a lab, patients frequently experience better sleep in the lab than even at home.
    • Time Factor:
      • Arrival at around 9pm the night of the study and generally out the door as early as 6am the following morning. Often patients sleep better in the lab than they have at home for some time.
    • Fear Factor:
      • It can be uncomfortable to sleep in any bed or place that isn't home, but the beds and atmosphere is comfortable and someone is there overnight to watch over everything for your safety and well being.
      • It can be uncomfortable sleeping with equipment attached to you but one can actually get used to all of this rather rapidly and sleep quite well regardless. Results for these studies can take up to 4 weeks due to the complex nature of the analysis of the study.
  • In House CPAP (Continuous Positive Airway Pressure) Study
    • Reason for the test:
      • If the first portion of your study shows evidence of possible sleep apnea, this test will be ordered to now quantify and see exactly how using a CPAP mask and machine can help you sleep comfortably and make sure you get oxygen throughout the entire night
      • The positive pressure of the machine and mask are able to gently overcome any resistance your own body may present to threaten your breathing during sleep.
      • With proper settings and fitting of CPAP - you can sleep an entire night with better restful sleep than ever before.
    • How it's done:
      • Just as with the PSG test above in house - you come in and are hooked up to electrodes to monitor brain wave and quality of sleep in addition to breathing
      • But now, in addition, you are fitted with a CPAP mask and machine that the technician will help adjust throughout the night to makes sure the settings help you overcome your blocked breathing
    • What to know before you come:
      • Just as with the PSG study - bring comfortable sleep wear, plan to be in by 9, out by 6am. If you enjoy reading, bring a book - we have cable tv to relax you.
    • Time Factor:
      • Arrival at around 9pm the night of the study and generally out the door as early as 6am the following morning. Often patients sleep better in the lab than they have at home for some time.
    • Fear Factor:
      • In addition to the above concerns with PSG - sleeping away from home and electrodes when sleeping - this also involves sleeping with mask with air throughout the study.
      • The air is there to help you breath when its difficult and should not only be comfortable but make breathing easier during sleep.
      • Results for these studies can take up to 4 weeks due to the complex nature of the analysis of the study.
  • Split Night Sleep Study
    • This is a combination of the above Polysomnography (PSG) and CPAP studies combined in one night -all info as above.
    • Results for these studies can take up to 4 weeks due to the complex nature of the analysis of the study.
  • Home Sleep Study (Polysomnography)
    • Some insurance companies insist on running a modified home sleep study prior to allowing a more thorough in office full sleep study.
    • These studies involve taking home with you a very modified sleep study device with far fewer electrodes that measure your breathing, pulse and basic sleep activity.
    • This is a very simple and simplified version of the normal in-house overnight study, but if this study shows evidence of sleep apnea we can then proceed to obtain an in-house study.
    • This home study is done in your own bed and you will be showed how to attach the leads and use the equipment prior to the study - you then return the equipment the next day after your study for analysis.
  • Exercise Spirometry
    • Reason for test :
      • To get a very basic screening to see if there are any obvious abnormalities with patients breathing and lungs when challenged that could be leading to breathing difficulties during sleep.
    • How it's done:
      • Patient are asked to forcefully breath into a tube as strongly as they can for one full breath and then breath in also forcefully.
      • Patients are then asked to do some basic exercise - walking back and forth for example, and the test is repeated.
    • What to know before you come:
      • If you have a known pulmonary condition or already have a pulmonologist you likely have already had a similar test and make sure to make your provider and technician aware.
    • Time factor:
      • This test should take from 10-15 minutes to complete.
    • Fear Factor:
      • Really none - just make sure you are able to comfortably breath during the test.

NEURODIAGNOSTIC STUDIES

  • EMG/NCV (Electromyography/Nerve Conduction Velocity) Studies
    • Reason for the test:
      • To look for abnormality in muscle and/or nerve and to assist in making the proper diagnosis and then to add proper treatment intervention.
      • Helps to determine the existence of, nature of and exact location of nerve or muscle injury.
      • Examples for such testing would be to help in diagnosis and treatment of neuropathies, carpal tunnel, foot drop, pinched nerves (radiculopathy) or muscle diseases (myopathy, muscular dystrophy) just to name a small number of reasons to perform such testing.
    • How it's done:
      • Studies are done focused on the arms/neck or legs/low back or both.
      • Electrodes are placed over the skin and weak impulses are applied (generally that you can barely feel) that help measure speed of nerve.
      • The muscle part of the examination uses a small probe that serves as a microphone in muscle - this is an acupuncture type very thin probe that slips under the skin to listen for abnormality in muscle.
    • What to know before you come:
      • Make sure you make the doctor and technician aware if for any reason you may be pregnant, have an electronic devices of any type implanted such as a pacemaker or defibrillator or any type of implant that could possibly be affected by electrical current.
    • Time Factor:
      • The nerve conduction velocity (NCV) portion of the test can take between 15-30 minutes for an upper or lower study.
      • The muscle portion of the study can take between 5-15 minutes for an upper or lower study.
      • Combined studies done on the same day may be less than the time for each individually as time is often saved on setup and the upper and lower portions of the test are very similar
    • Fear factor:
      • There is a small amount of electrical signal that can for some cause some mild discomfort during the nerve conduction portion of the test.
      • The technician is very sensitive to every patient's various sensitivity to this portion of the test and will do everything possible to cater to each patient's unique level of sensitivity to this portion of the test and will do everything possible to cater to each patient's unique level of sensitivity or discomfort they may experience on any portion of the test.
      • The muscle portion of the test can also be uncomfortable for some, but we are careful to work with each patient and to minimize any discomfort and to obtain information as accurately and rapidly as possible.
      • Many patients experience little to no discomfort.
      • The only reason we do any of these tests to begin with is when there is an important need to make a diagnosis with plans that depend on these test results.
  • Evoked Potential Studies
    • Brainstem Auditory Evoked Response (BAER) Studies
      • Reason for the test:
        • To help determine if there is an central abnormality in the brainstem auditory and/or vestibular system (from the vestibular-cochlear nerve through the brainstem) to assist in the diagnosis of various balance, vertigo or tinnitus (abnormal sounds such as ringing in the ear) disorders.
      • How it's done:
        • Electrodes are connected to the head (just to listen to brainwaves) and patients wear a headphone that plays a series of sounds that are then detected as brainwaves by the attached electrodes
      • What to know before you come:
        • Electrodes need to be placed on your head and placed through your hair; weaves, hairpieces and overall hairdos can get in the way of this.
        • Since gel is used to attach the electrodes to the scalp you may want to shampoo your hair after the test.
      • Time Factor:
        • The test can take from 15 to 30 minutes.
      • Fear Factor:
        • Really none - there is truly no pain or discomfort overall.
    • Visual Evoked Response (VER) Studies
      • Reason for the test:
        • To help determine if there is an central abnormality in the visual evoked response system to assist in the diagnosis of optic nerve dysfunction
        • Generally, very sensitive in the diagnosis of optic neuritis and ultimately multiple sclerosis
      • How it's done:
        • Electrodes are connected to the head (just to listen to brainwaves) and patients look at a checkerboard pattern of LEDs that are watched by the patient and that are then detected as brainwaves by the attached electrodes
      • What to know before you come:
        • Electrodes need to be placed on your head and placed through your hair; weaves, hairpieces and overall hairdos can get in the way of this.
        • Since gel is used to attach the electrodes to the scalp you may want to shampoo your hair after the test.
      • Time Factor:
        • The test can take from 15 to 30 minutes.
      • Fear Factor:
        • Really none - there is truly no pain or discomfort overall.
    • Somatosensory Evoked Potential Studies (Upper or Lower Extremities)
      • Reason for the test:
        • To help determine if there is an central abnormality in the somatosensory evoked response system to assist in the diagnosis of nerve slowing from the upper or lower extremities through the more central levels of the nervous system near the spinal cord and into the brain.
        • Generally very sensitive in the diagnosis of nerve conduction deficits and useful in diagnoses of radiculopathy (pinched nerves) and multiple sclerosis (MS).
      • How it's done:
        • Electrodes are connected to the head to listen to brainwaves.
        • Patients receive a very small impulse that is then detected as brainwaves by the attached electrodes.
      • What to know before you come:
        • Electrodes need to be placed on your head and placed through your hair; weaves, hairpieces and overall hairdos can get in the way of this.
        • Since gel is used to attach the electrodes to the scalp you may want to shampoo your hair after the test.
      • Time Factor:
        • The test can take from 15 to 30 minutes
      • Fear Factor:
        • Really none - there is truly no pain or discomfort overall.

Computerized CNS-VS® Neuropsychiatric Testing

  • Reason for the test:
    • Computerized-based in-office neuropsychiatric testing helps us test for various domains and overall cognitive performance in situations when memory is called into question for post-traumatic injuries, stroke, dementia, children with poor school performance.
    • To help assess in not only cognition, but attention in situations such as attention deficit disorder and attention deficit with hyperactivity disorder (ADD/ADHD).
    • Very useful for assessing patients who are using controlled substances such as narcotics or benzodiazepines to help assess safety and adequate cognition/attention.
  • How it's done:
    • Patients sit in front of a computer faced with a battery of questions that they attempt to answer to help determine their overall cognitive ability
    • These tests are tailored to educational level and also available in multiple languages.
  • What to know before you come:
    • Familiarity with a basic computer keyboard is helpful but not mandatory.
  • Time Factor:
    • The test generally takes about 45 minutes to complete.
  • Fear Factor:
    • None

Videonystagmography (VNG)/Balance and Vestibular Testing

  • Reason for the test:
  • How it's done:
    • Patients sits an a chair and wears a pair of goggles over their eyes that have a video camera that is able to closely watch the movement of each eye.
    • The patient is put through a number of moves that may bring out their symptoms and the movement of the eye is recorded and is then able to help determine the exact basis for their symptoms.
  • What to know before you come:
    • This is an important test to help determine the basis of the symptoms you have been experiencing and to help us both localize and then eventually fix the problem.
    • This test may cause some of these very symptoms in the course of helping to diagnose these problems that you have been experiencing - the technician will do all they can to make this test as tolerable as possible.
  • Time Factor:
    • The test generally takes about 30-40 minutes to complete.
  • Fear Factor:
    • Depending on whether or not you experience a great deal of vertigo all the time you may find this test to be challenging as this can trigger those very symptoms you are having trouble with.
    • The test is very limited in time, may not bother you at all, and is very important in helping us find the basis of your symptoms and enabling us to formulate a plan on fixing the problems with imbalance, vertigo and dizziness you have been experiencing.
    • You may become nauseous during the test but the technician will do all they can go slow and work to enable you to complete the test.

NEUROVASCULAR STUDIES

  • Carotid Doppler Ultrasound (CU) Testing
    • Reason for the test:
    • How it's done:
      • Patients generally lie down and have an ultrasound probe listen for the flow of the carotid artery system in the neck.
    • What to know before you come:
      • You will be asked to lie down, the use the ultrasound probe for this test the technician will need access to your neck and there will be ultrasound gel that will feel cold and touch your neck via the probe.
    • Time Factor:
      • The test generally takes about 15-20 minutes to complete.
    • Fear Factor:
      • None.
  • Transcranial Doppler (TCD) Testing
    • Reason for the test:
    • How it's done:
      • Patients generally lie down and have an ultrasound probe listen for the flow of the artery system of the brain.
    • What to know before you come:
      • You will be asked to lie down, the use the ultrasound probe for this test the technician will need access the sides of your scalp and there will be ultrasound gel that will feel cold and touch the sides of your head via the probe.
    • Time Factor:
      • The test generally takes about 20-30 minutes to complete.
    • Fear Factor:
      • None

 

 

DRUGS WE COMMONLY PRESCRIBE

Always REPORT ANY POSSIBLE SIDE EFFECTS you experience while taking any new drug

Only take new medications exactly as prescribed

(If you miss a dose, just continue as before)

Do NOT share your medication with anyone else nor take anyone else's medication

IF YOU ARE NOTE CLEAR ON HOW TO TAKE OR WHY YOU WERE PRESCRIBED ANY MEDICATION PLEASE MAKE SURE TO ASK YOUR PROVIDER!!

 

DRUGS BY BRAND NAME

(click on drug for more info)

 

Abilify®- ACTHAR HP GEL®- Adderall XR®- Aggrenox®- Amerge®- Ampyra®- Amrix®- Aptiom®

Aricept®- Artane®- Aubagio®- Avonex®- Axert®

Baclofen - Banzel®- Betaseron®- Botox®- Buspar®

Calan SR®- Carbatrol®- Cardizem CD - Catapres®- Celebrex®- Celexa®- Cogentin®

Compazine®- Concerta®- Corgard®- Copaxone®- Cymbalta®

Daypro®- Daytrana®- Depakote®- Diamox®- Dilantin®

Effexor XR®- Elavil®- Eldepryl®- Evekeo®- Exelon®- Extavia®

Flector Patch®- Focalin XR®- Frova®

Geodon®- Gilenya®- Gralise®

Horizant®

Imitrex®- Inderal LA®- Indocin®- Intuniv®

Keppra®

Lamictal®- Lemtrada®- Lexapro®- Lidoderm patch®-Lithium®

Lodine XL®-Lorzone®- Luvox®-Lyrica®

Maxalt®- Metadate®- Methylin®- Midrin®- Migranal®- Mirapex®- Mobic®- Mysoline®

Namenda®- Namzaric®- Naprosyn®- Neupro®- Neurontin®

Novantrone®- Norflex®- Nuedexta®- Nuvigil®

Ocrevus®- Orap®

Pamelor®- Parcopa®- Parlodel®- Paxil®- Periactin®- Phenobarbital®

Plavix®- Plegridy®- Pristiq®- Provigil®- Prozac®

Quillivant XR®

Razadyne®- Rebif®- Reglan®- Relafen®- Relpax®- Requip®- Rilalin LA®- Risperdal®- Robaxin®

Savella®- Seroquel®- Serzone®- Sinemet®- Skelaxin®- Stalevo®- Symmetrel®

Tecfidera®- Tegretol®- Tenex®- Topamax®-Treximet®-Trileptal®- Trintellix®- Trokendi XR®-Tysabri®

Vimovo®- Vimpat®- Voltaren®- Voltaren Gel®- Voltaren Patch®- Vyvance®

Wellbutrin XL®

Zarontin®- Zinbryta®- Zofran®- Zoloft®- Zomig®- Zonegran®-Zostrix Cream®- Zyprexa®

 

 

DRUGS BY GENERIC NAME

(click on drug for more info)

a

Almotriptan - Acetazolamide - Alemtuzumab - Almotriptan - Amantadine - Amitriptyline

Amphetamine - Aripiprazole - Armodafinil - Aspirin/Dipyridamole ER

Baclofen - Benztropine - Bromocriptine - Bupropion Hydrochloride - Buspirone

Capsaicin Topical Cream - Carbamezapine - Carbidopa/Levodopa

Carbidopa/Levodopa/Entacapone - Celecoxib - Chlorzoxazone - Citalopram - Clonidine

Clopidogrel - Corticotropin - Cyclobenzaprine ER - Cyproheptadine

Daclizumab - Dalfampridine - Desvenlafaxine - Dexmethylphenidate XR

Dextroamphetamine/Amphetamine - Dextromethorphan/Quinidine - Diclofenac

Diclofenac Epolamine Topical - Diclofenac Gel - Diclofenac Patch - Dihydroergotamine nasal

Diltiazem - Dimethyl Fumarate - Donezapil - Duloxetine

Eletriptan - Escitalopram - Eslicarbazepine Acetate - Ethosuximide - Etodolac XL

Fingolimod - Fluoxetine - Fluvoxamine - Frovatriptan

Gabapentin - Galantamine - Glatiramer Acetate - Guanfacine

Indomethacin - Interferon Beta 1a IM  - Interferon Beta 1a SQ - Interferon Beta 1b SQ

Isometheptene/Dichloralphenazone/Acetaminophen

Lacosamide - Lamotrigine - Levitiracetam - Lidocaine Patch - Lisdexamfetamine - Lithium

Meloxicam - Memantine - Memantine/Donepezil - Metaxalone - Methocarbamol - Methylphenidate

Methylphenidate Extended Release

Methylphenidate Transdermal - Metoclopramide - Milnacipran - Mitoxantrone - Modafinil

Nabumetone - Nadolol - Naproxen - Naproxen/Esomprazole - Naratriptan

Natalizumab - Nefazodone - Nortriptyline

Ocrelizumab - Olanzapine - OnabotulinumtoxinA - Ondansetron

Orphenadrine - Oxaprozin - Oxcarbezapine

Paroxetine - Peginterferon Beta 1a - Phenobarbital - Phenytoin - Pimozide - Pramipexole

Pregabalin - Primidone - Prochlorperazine Maleate - Propranolol

Quetiapine

Risperidone - Rivastigmine - Rizatriptan - Ropinarole - Rotigotine Transdermal - Rufinamide

Selegeline - Sertaline - Sumatriptan - Sumatriptan/Naproxen Sodium

Teriflunomide - Topiramate - Trihexyphenidyl

Valproic Acid - Venlafaxine XR - Verapamil - Vortioxetine

Ziprasidone - Zolmitriptan - Zonisamide

 

 

PAIN KILLERS/NSAIDS (non steroidal anti-inflammatory drugs)

(click on drug for more info)

 

Celebrex®(Celecoxib) - Daypro®(Oxaprozin) - Indocin®(Indomethacin) - Lodine XL®(Etodolac XL)

Mobic® (Meloxicam) - Naprosyn® (Naproxen) - Relafen® (Nabumetone)

Vimovo® (Naproxen/Esomprazole) - Voltaren® (Diclofenac)

 

 

PAIN KILLERS/MUSCLE RELAXANTS

(click on drug for more info)

 

Amrix® (Cyclobenzaprine ER) - Baclofen - Lorzone® (Chlorzoxazone)

Norflex® (Orphenadrine) - Robaxin® (Methocarbamol) - Skelaxin® (Metaxalone)

 

 

PAIN KILLERS/PATCHES AND GELS

(click on drug for more info)

 

Flector Patch® (Diclofenac Epolamine Topical) - Lidoderm patch® (Lidocaine Patch)

Voltaren Gel® (Diclofenac Gel) - Voltaren Patch® (Diclofenac Patch)

Zostrix Cream® (Capsaicin Topical Cream)

 

 

ANTI SEIZURE/PAIN/MIGRAINE DRUGS

(click on drug for more info)

 

Aptiom® (Eslicarbazepine acetate) - Banzel® (Rufinamide) - Carbatrol® (Carbamezapine)

Depakote® (Valproic Acid) - Diamox® (Acetazolamide) - Dilantin® (Phenytoin)

Gralise®(Gabapentin) - Horizant®(Gabapentin) - Keppra®(Levitiracetam) - Lamictal®(Lamotrigine)

Lyrica® (Pregabalin) - Mysoline® (Primidone) - Neurontin® (Gabapentin) - Phenobarbital

Tegretol® (Carbamezapine) - Topamax® (Topiramate) - Trileptal® (Oxcarbezapine)

Trokendi XR® (Topiramate) - Vimpat® (Lacosamide) - Zarontin® (Ethosuximide)

Zonegran® (Zonisamide)

 

 

ANTIHYPERTENSIVE DRUGS FOR MIGRAINE

(click on drug for more info)

 

Calan SR®(Verapamil) - Cardizem CD®(Diltiazem) - Corgard®(Nadolol) - Inderal LA®(Propranolol)

 

 

ANTIPLATELET DRUGS FOR STROKE PREVENTION

(click on drug for more info)

 

Aggrenox® (Aspirin/Dipyridamole) - Plavix® (Clopidogrel)

 

 

DRUGS TO HELP TREAT/SLOW PROGRESSION OF DEMENTIA

(click on drug for more info)

 

Aricept® (Donezapil) - Exelon® (Rivastigmine) - Namenda® (Memantine)

Namzaric® (Memantine/Donepezil) - Nuedexta® (Dextromethorphan/Quinidine)

Razadyne® (Galantamine)

 

 

DRUGS FOR MULTIPLE SCLEROSIS (MS)

(click on drug for more info)

 

HP ACTHAR GEL® (Corticotropin) - Ampyra® (Dalfampridine) - Aubagio® (Teriflunomide)

Avonex® (Interferon beta 1a) - Betaseron® (Interferon beta 1b) - Copaxone® (Glatiramer Acetate)

Extavia® (Interferon beta 1b) - Gilenya® (Fingolimod) - Lemtrada® (Alemtuzumab)

Novantrone® (Mitoxantrone) - Ocrevus® (Ocrelizumab) - Plegridy® (Peginterferon beta 1a)

Rebif® (Interferon beta 1a) - Tecfidera® (Dimethyl Fumarate) - Tysabri® (Natalizumab)

Zinbryta® (Daclizumab)

 

 

DRUGS FOR PARKINSON'S/RESTLESS LEG/MOVEMENT DISORDERS

(click on drug for more info)

 

Artane®(Trihexyphenidyl) - Cogentin®(Benztropine)-Eldepryl®(Selegeline) - Mirapex®(Pramipexole)

Neupro® (Rotigotine Transdermal) - Parcopa® (Carbidopa/Levodopa) - Parlodel® (Bromocriptine)

Requip®(Ropinarole) - Sinemet®(Carbidopa/Levodopa)-Stalevo®(Carbidopa/Levodopa/Entacapone)

Symmetrel® (Amantadine)

 

 

DRUGS FOR NAUSEA

(click on drug for more info)

 

Compazine® (Prochlorperazine Maleate) - Reglan® (Metoclopramide) - Zofran® (Ondansetron)

 

 

ANTIDEPRESSANTS FOR PAIN/MIGRAINE

(click on drug for more info)

 

Celexa® (Citalopram) - Cymbalta® (Duloxetine) - Effexor XR® (Venlafaxine XR)

Elavil® (Amitriptyline) - Lexapro® (Escitalopram) - Lithium - Luvox® (Fluvoxamine)

Pamelor® (Nortriptyline) - Paxil® (Paroxetine) - Pristiq® (Desvenlafaxine) - Prozac® (Fluoxetine)

Savella® (Milnacipran) - Serzone® (Nefazodone) - Trintellix® (Vortioxetine)

Wellbutrin XL® (Bupropion hydrochloride) - Zoloft® (Sertaline)

 

 

DRUGS THAT PROMOTE WAKEFULLNESS

(click on drug for more info)

 

Nuvigil® (Armodafinil) - Provigil® (Modafinil)

 

 

DRUGS THAT TREAT ADHD/FATIGUE

(click on drug for more info)

 

Adderall XR® (Dextroamphetamine/Amphetamine) - Catapres® (Clonidine)

Concerta® (Methylphenidate) - Daytrana® (Methylphenidate Transdermal)

Evekeo® (Amphetamine) - Focalin XR® (Dexmethylphenidate) - Intuniv® (Guanfacine)

Metadate® (Methylphenidate) - Methylin® (Methylphenidate) - Periactin® (Cyproheptadine)

Quillivant XR® (Methylphenidate) - Rilalin LA® (Methylphenidate) - Vyvance® (Lisdexamfetamine)

 

 

DRUGS THAT TREAT MIGRAINE/HEADACHE

(click on drug for more info)

 

Amerge® (Naratriptan) - Axert® (Almotriptan) - Botox® (OnabotulinumtoxinA)

Migranal® (Dihydroergotamine Nasal) - Frova® (Frovatriptan) - Imitrex® (Sumatriptan)

Maxalt® (Rizatriptan) - Midrin® (Isometheptene/Dichloralphenazone/Acetaminophen)

Treximet® (Sumatriptan/Naproxen Sodium) - Relpax® (Eletriptan) - Zomig® (Zolmitriptan)

 

 

ATYPICAL ANTIPSYCHOTICS/ANTI ANXIETY/DRUGS FOR TIC

(click on drug for more info)

 

Abilify® (Aripiprazole) - Buspar® (Buspirone) - Catapres® (Clonidine) - Geodon® (Ziprasidone)

Orap® (Pimozide) - Risperdal® (Risperidone) - Seroquel® (Quetiapine) - Tenex® (Guanfacine)

Zyprexa® (Olanzapine)

 

YOUR FIRST VISIT TO OUR OFFICE

(based on American Academy of Neurology (AAN) Guidelines)

Before your visit:

 

  • Prepare questions in advance, write them down and bring them with you

 

  • Ask a relative or friend to come with you to the visit. A second set of ears may be helpful.

 

  • Gather all your medications, vitamins and supplements in a bag to bring to your visit or at least write them all down.

 

  • Download our forms in advance and bring with any summary of your health history

 

  • Bring other medical information and test results, such as lab work, x-rays, and MRIs and bring with CDs or films if you have.

 

  • Bring a list of the doctors you want us to update about your medical condition. Be sure to include their telephone, fax numbers, and addresses.

 

  • Bring your insurance card and referral, if needed.

 

  • Realize if your current medical condition is any way related to any type of accident at work, in a car, or from a slip and fall make sure to let our office know - this can very directly impact your insurance coverage for the visit.

 

On the day of your visit:

 

  • Plan to arrive early to complete any forms that may be needed. (These can be downloaded in advance from this website) - If you do not understand the questions or forms, please ask for help

 

  • PLEASE ALLOW AT LEAST 3 HOURS FOR YOUR INITIAL VISIT THAT WILL INCLUDE NOT ONLY A COMPREHENSIVE HISTORY AND PHYSICAL BUT USUALLY SAME DAY TESTING WHEN/WHERE POSSIBLE. As neurological/pain conditions tend to be complicated and complex its important that we spend the necessary time with you to arrive at the proper diagnosis and treatment plan.

 

  • Please give us any information about your symptoms or condition, even though you may feel that it may be unimportant or embarrassing.

 

  • Take notes or have your companion take notes on what we tell you. If you don't understand the anything, please don't be afraid to ask for more information.

 

  • Ask us the questions you wrote down before the visit, even if you may feel the questions are not important.

 

  • Make sure you leave with handouts and Internet information that our office provides so you can share with your family or review when you are at home.

 

  • Make sure that you schedule all tests ordered and make sure you also make a follow-up appointment, our office will continue to care for you and plan on continuing to see you and treat you until your problem has been fully diagnosed and treated (and ultimately you feel and actually are better!) - We aren't done until your 100% clear what's going on and all better!!

 

  • The office policy is to call patients ONLY with emergent and highly abnormal test results, routine results are generally discussed at the follow-up visit which is designed to give the provider a chance to reevaluate you after time has passed, treatment has begun and test results become available to further clarify your condition and diagnosis.

 

  • Know what the next steps are in your care.

 

  • If we prescribe medication, make sure you fully understand:
    • What has been prescribed and what it should do for you
    • If there is a generic substitution that is acceptable
    • Exactly when and how long you are to take your medication(s)
    • The potential side effects of the medications and what to do if they occur

 

  • Our office generally prescribes the best available medication for your condition and while we try to be sensitive to realities of pharmacy coverage limitations with the health insurance plans, we also understand that most patients expect more than the generic non prescription medication they have likely already tried at home and have easy access to at their pharmacy

 

  • Please realize that it has become routine for us to prescribe what we can at first and then expect to adjust this FIRST LINE THERAPY for what your insurance will cover - much of our clerical support staff spends hours daily working on trying to get approval and coordinate getting you the medication you need and would be best for you!!

 

Back at Home:

 

  • Review the information you got from the neurologist's office. If you can't remember or don't understand something you were told, call the office to get the information you need.

 

  • Follow the neurologist's instructions. Managing your disorder is a partnership between you and your neurologist.

 

  • Make sure any medication you get at the pharmacy or through your mail order pharmacy benefits plan is what has been prescribed for you.

 

  • Call your neurologist's office if:
    • There are any complications or changes in your condition
    • You experience any side effects from the medications
    • You need to follow up on your test results

CONTACT US

Open 9-6 M-Th, 9-5 Fri and 10-3 Sundays

BOOK APPOINTMENT ONLINE NOW

923 Broadway  Woodmere, NY  11598

516 239 1800  Fax: 516 295 5557

Comprehensive Care

Highly Advanced, Skilled & Experienced Care

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