| Desiree Davis, | |
|
63 Lexington Ave, Staten Island, NY 10302-2024 | |
| (917) 830-6908 | |
| Not Available |
| Full Name | Desiree Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 63 Lexington Ave, Staten Island, 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 |
|---|---|---|---|
| 1295415701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351901 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Constellation Home Care | Syosset, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Ocean Medical Group P.c. | 0143460634 | 5 |
| Daniel Novick Md Pllc | 0143754341 | 20 |
| Bridge Health Pllc | 3577000728 | 19 |
| Bridge Health Pllc | 3577000728 | 19 |
| Entity Name | North Ocean Medical Group P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477819001 PECOS PAC ID: 0143460634 Enrollment ID: O20130705000004 |
| Entity Name | Daniel Novick Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770327447 PECOS PAC ID: 0143754341 Enrollment ID: O20241111002856 |
| Entity Name | Compassionate Family Health Np, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265232417 PECOS PAC ID: 1759800964 Enrollment ID: O20250521001340 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Davis, 114 N Dunton Ave, East Patchogue, NY 11772-5542 Ph: (347) 608-6848 | Desiree Davis, 63 Lexington Ave, Staten Island, NY 10302-2024 Ph: (917) 830-6908 |
Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711 | |
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553 | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773 | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146 | |
Alexis Rigo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654 | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650 |