| Justin M Liu, PA-C | |
|
31 Main Rd Ste 3, Riverhead, NY 11901 | |
| (631) 727-6308 | |
| (631) 369-8129 |
| Full Name | Justin M Liu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 31 Main Rd Ste 3, Riverhead, 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 |
|---|---|---|---|
| 1356837702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 022149-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 022149-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peconic Bay Primary Medical Care | 7113817602 | 72 |
| Entity Name | Central Suffolk Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043402050 PECOS PAC ID: 4981508082 Enrollment ID: O20031120000840 |
| Entity Name | Peconic Bay Primary Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin M Liu, PA-C 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (631) 727-6308 | Justin M Liu, PA-C 31 Main Rd Ste 3, Riverhead, NY 11901 Ph: (631) 727-6308 |
Joanne Elizabeth Cotrone, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6200 |
Ms. Nicole Elise Auclair-masone, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1228 E Main St, Riverhead, NY 11901 Phone: 631-988-2197 |
Courtney Malia Clemons, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6000 |
Kasidy Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-538-8860 |
Alyssa P Maharaj, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6000 |
Ms. Fizzah Idrees, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1279 E Main St, Riverhead, NY 11901 Phone: 631-727-2100 |
Allison Keneski, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 E Main St, Riverhead, NY 11901 Phone: 631-591-3093 Fax: 631-317-1010 |