| Gregory Baumgartner, | |
|
122 Ronkonkoma Blvd, Centereach, NY 11720-3314 | |
| (631) 655-6484 | |
| Not Available |
| Full Name | Gregory Baumgartner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 122 Ronkonkoma Blvd, Centereach, 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 |
|---|---|---|---|
| 1205488970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 024218 (New York) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore University Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | Port Emergency Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912988395 PECOS PAC ID: 1456376177 Enrollment ID: O20051012000370 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| 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 |
|---|---|
| Gregory Baumgartner, 122 Ronkonkoma Blvd, Centereach, NY 11720-3314 Ph: (631) 655-6484 | Gregory Baumgartner, 122 Ronkonkoma Blvd, Centereach, NY 11720-3314 Ph: (631) 655-6484 |
Joseph Anthony Poppa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23 S Howell Ave Ste Oandp, Centereach, NY 11720 Phone: 631-446-1436 |
Alison M Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 S Howell Ave, Stony Brook Medicine - Vascular Surgery, Centereach, NY 11720 Phone: 631-638-1670 |
Brian Morganelli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 23 S Howell Ave, Stony Brook Medicine - Vascular Surgery, Centereach, NY 11720 Phone: 631-638-1670 |
Patrick Kuflewski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 S Howell Ave Ste K, Centereach, NY 11720 Phone: 631-473-1178 |
Ms. Lynette Marie Chacona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11 Jackson Ave, Centereach, NY 11720 Phone: 631-846-7529 |
Carol Eugenia Paradise, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 S Howell Ave Ste G, Centereach, NY 11720 Phone: 631-638-1672 Fax: 631-638-1692 |
Sonia Varughese, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23 S Howell Ave Ste D, Centereach, NY 11720 Phone: 631-444-2274 |