| Erik Walter, PA-C | |
|
434 Union Blvd, West Islip, NY 11795 | |
| (631) 238-3067 | |
| (631) 458-1041 |
| Full Name | Erik Walter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 434 Union Blvd, West Islip, 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 |
|---|---|---|---|
| 1376913731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | P99582 (New York) | Secondary |
| 363A00000X | Physician Assistant | 23 019235 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntington Hospital | Huntington, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| North Shore Lij Urgent Care Pc | 6002131778 | 389 |
| 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 |
| Entity Name | Frank S Segreto MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205170123 PECOS PAC ID: 2163677501 Enrollment ID: O20130308000467 |
| Entity Name | Progressive Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588098172 PECOS PAC ID: 8820225956 Enrollment ID: O20131218000289 |
| Entity Name | North Shore Lij Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Walter, PA-C 434 Union Blvd, West Islip, NY 11795-3104 Ph: (631) 238-3067 | Erik Walter, PA-C 434 Union Blvd, West Islip, NY 11795 Ph: (631) 238-3067 |
Mrs. Kristy Selvaggi, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Highway, Good Samaritan Hospital, West Islip, NY 11795 Phone: 631-376-4444 |
Lisa Trentino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Montauk Hwy Ste 102, West Islip, NY 11795 Phone: 631-533-2723 Fax: 631-257-0850 |
Joseph E Mirro, Physician Assistant Medicare: Medicare Enrolled Practice Location: 518 Hunter Ave, West Islip, NY 11795 Phone: 631-278-9888 |
Laurie Waters, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |
Michaela Lynn Lomelo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Montauk Hwy, West Islip, NY 11795 Phone: 631-422-9100 |
Aron Weinberg, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |
Steven H Burg, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Montauk Hwy, West Islip, NY 11795 Phone: 631-893-3903 Fax: 631-893-3904 |