| Andrew Pietris, PA-C | |
|
60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2917 | |
| (845) 202-7182 | |
| (845) 202-7185 |
| Full Name | Andrew Pietris |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 60 Merritt Blvd, Fishkill, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235471616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 016817 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sun River Health Inc. | 6608783568 | 246 |
| Divinity Medical Services Pllc | 5193030245 | 92 |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Emergency Physician Services of New York, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Entity Name | Divinity Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Pietris, PA-C 60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2917 Ph: Not Available | Andrew Pietris, PA-C 60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2917 Ph: (845) 202-7182 |
Shane Martin Wible, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Merritt Blvd, Suite 106, Fishkill, NY 12524 Phone: 845-905-5090 |
Ms. Carolyn Baker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 Main St Ste D, Fishkill, NY 12524 Phone: 845-896-7730 Fax: 845-896-7758 |
Melissa Ashley Moustakas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Merritt Blvd, Fishkill, NY 12524 Phone: 845-765-4990 |
Courtney Emerson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 Main St Ste D, Fishkill, NY 12524 Phone: 845-896-7730 Fax: 845-896-7758 |
Scott Markumas, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Westage Business Ctr Dr, Suite 210, Fishkill, NY 12524 Phone: 845-838-8480 Fax: 845-838-8474 |
Olga Gaskins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 969 Main St Ste D, Fishkill, NY 12524 Phone: 845-896-7730 Fax: 845-896-7758 |
Russell M. Higley, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Westage Business Center Drive, Suite 224, Fishkill, NY 12524 Phone: 845-896-9200 Fax: 845-896-3262 |