| John Raymond Annessa, PA-C | |
|
4401 Middle Settlement Rd Ste 102, New Hartford, NY 13413-5332 | |
| (315) 735-4496 | |
| (315) 735-7066 |
| Full Name | John Raymond Annessa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4401 Middle Settlement Rd Ste 102, New Hartford, 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 |
|---|---|---|---|
| 1467691220 | NPI | - | NPPES |
| 008688 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK STATE EDUCATION DEPARTMENT |
| 1052954 | Other | GA | THE NATIONAL COMMISSION OF THE CERTIFICATION OF PHYSICIAN ASSISTANTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 008688 (New York) | Primary |
| 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 | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| 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 | Excel Urgent Care of Wantagh PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184067936 PECOS PAC ID: 9234364027 Enrollment ID: O20131104000254 |
| Mailing Address | Practice Location Address |
|---|---|
| John Raymond Annessa, PA-C 4401 Middle Settlement Rd Ste 102, New Hartford, NY 13413-5332 Ph: (315) 735-4496 | John Raymond Annessa, PA-C 4401 Middle Settlement Rd Ste 102, New Hartford, NY 13413-5332 Ph: (315) 735-4496 |
Lynn Luthern, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1859 Fax: 315-798-1721 |
Samantha Tavarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Kellogg Rd, New Hartford, NY 13413 Phone: 315-765-0903 |
Kevin Mahoney, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8411 Seneca Turnpike, New Hartford, NY 13413 Phone: 315-624-8500 Fax: 315-624-8515 |
Melissa Erin Grey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Middle Settlement Rd Ste 102, New Hartford, NY 13413 Phone: 315-735-4496 Fax: 315-735-7066 |
James D Eagan, RPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 610 French Rd, New Hartford, NY 13413 Phone: 315-738-1662 |
Miss Radaranys Brea, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1702 |
Julie Gorczynski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3946 Oneida St., New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-5152 |