| Cheryl Blaivas, PA | |
|
225 Eastview Dr, Central Islip, NY 11722-4539 | |
| (631) 665-1600 | |
| Not Available |
| Full Name | Cheryl Blaivas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 225 Eastview Dr, Central Islip, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437817319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mill Basin Medical Health Pc | 9133566128 | 104 |
| Entity Name | Nys Medical Associate PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887 |
| Entity Name | Mill Basin Medical Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346006202 PECOS PAC ID: 9133566128 Enrollment ID: O20240326003311 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Blaivas, PA 23 White Dr, Cedarhurst, NY 11516-2607 Ph: Not Available | Cheryl Blaivas, PA 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: (631) 665-1600 |
Andrea Martinez Villalobos, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510 Fax: 631-650-0497 |
Lauren Kelly Radecki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Jillian Colchamiro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Shannon Kerrianne Camuso, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Miriam Raitport, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 000-000-0000 |
Sandy Hu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 347-335-3953 |
Nicole Barrett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |