| Joel La Watson, PA | |
|
4295 Hempstead Tpke, Bethpage, NY 11714-5713 | |
| (516) 579-6000 | |
| Not Available |
| Full Name | Joel La Watson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4295 Hempstead Tpke, Bethpage, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003968132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 008600 (New York) | Primary |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | Wyckoff Professional Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
| Entity Name | Interfaith Professional Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel La Watson, PA 21 Crowell St, Hempstead, NY 11550-5113 Ph: (516) 538-8697 | Joel La Watson, PA 4295 Hempstead Tpke, Bethpage, NY 11714-5713 Ph: (516) 579-6000 |
James Bantel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 |
Lisa Abraham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 |
Charles Ferrer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 185 Central Ave, Bethpage, NY 11714 Phone: 516-758-8600 |
Zeba Memon, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-520-2500 |
Joann Holmes, R.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 Hicksville Rd, Bethpage, NY 11714 Phone: 516-714-3283 Fax: 516-232-9789 |
Mr. John A Cavagnaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4295 Hempstead Turnpike, Critical Care Medicne, Bethpage, NY 11714 Phone: 516-579-6000 |
Samantha Sanchez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4295 Hempstead Tpke, Bethpage, NY 11714 Phone: 516-579-6000 |