| Grace Lucia Halleran, PA | |
|
1129 Northern Blvd, Suite 408, Manhasset, NY 11030-3022 | |
| (516) 627-2121 | |
| (516) 869-1386 |
| Full Name | Grace Lucia Halleran |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1129 Northern Blvd, Manhasset, 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 |
|---|---|---|---|
| 1285863654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0132171 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Medical Group Of The Mount Sinai School Of Medicine | 8921999087 | 325 |
| Entity Name | North Shore Medical Group of the Mount Sinai School of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Lucia Halleran, PA 1129 Northern Blvd, Suite 408, Manhasset, NY 11030-3022 Ph: (516) 627-2121 | Grace Lucia Halleran, PA 1129 Northern Blvd, Suite 408, Manhasset, NY 11030-3022 Ph: (516) 627-2121 |
Mr. Jose Luis Cruz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, North Shore University Hospital, Manhasset, NY 11030 Phone: 516-562-3683 Fax: 516-562-2843 |
Theresa Mary Mouzakitis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-662-5100 |
Rebecca Kelly Vicente, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Mr. Daniel Martin Macgregor, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Mr. Aaron Kim, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100 |
Sandra Anghel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2013 |
Ms. Ruth Ganthier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2103 |