Alyssa Michelle Churchill, MD in Bay Shore, NY

Alyssa Michelle Churchill, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Bay Shore, New York. Her current practice location is 376 E Main St Ste 101, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 539-5400.

Alyssa Michelle Churchill is licensed to practice in New York (license number 309766) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396242434.

Contact Information

	Alyssa Michelle Churchill, MD
	376 E Main St Ste 101, Bay Shore, NY 11706-8441
	(631) 539-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Alyssa Michelle Churchill
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	376 E Main St Ste 101, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396242434
Provider Enumeration Date: 04/06/2018
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 1951707942
Enrollment ID: I20210830002780

Medical Identifiers

Medical identifiers for Alyssa Michelle Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396242434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	309766 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	309766 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alyssa Michelle Churchill allows following entities to bill medicare on her behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Michelle Churchill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alyssa Michelle Churchill, MD 376 E Main St Ste 101, Bay Shore, NY 11706-8441 Ph: (631) 539-5400	Alyssa Michelle Churchill, MD 376 E Main St Ste 101, Bay Shore, NY 11706-8441 Ph: (631) 539-5400

Reviews and Comments

Pediatrics Doctors in Bay Shore, NY

Dr. Elaine May Arcenas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Brentwood Rd, Bay Shore, NY 11706 Phone: 631-665-6551 Fax: 631-665-9555
Michael Woo Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1464 5th Ave, Bay Shore, NY 11706 Phone: 631-231-5070 Fax: 631-435-3288
Dr. Hafiz Ur Rehman, M.D. FAAP. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 375 E Main St, Suite 7, Bay Shore, NY 11706 Phone: 631-666-6780 Fax: 631-666-4663
Khalil U Rehman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3460 Fax: 631-968-7387
Dr. Chinonso Oluremi Onwudiwe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-800-3433
Megan Bulanowski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000

Alyssa Michelle Churchill, MD - Medicare Pediatrics in Bay Shore, NY