| Krysten Vazquez, MMS, RPAC | |
|
3716 108th St, Corona, NY 11368-2025 | |
| (718) 651-4000 | |
| Not Available |
| Full Name | Krysten Vazquez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 3716 108th St, Corona, 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 |
|---|---|---|---|
| 1366978702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 020916 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| Girling Health Care Of New York | Brooklyn, NY | Home health agency |
| Revival Home Health Care | Staten island, NY | Home health agency |
| Extended Home Care | Brooklyn, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suffolk Primary Health Llc | 9436420510 | 46 |
| Entity Name | Suffolk Primary Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174965727 PECOS PAC ID: 9436420510 Enrollment ID: O20170808002088 |
| Entity Name | Vantage Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538642996 PECOS PAC ID: 0547673816 Enrollment ID: O20210105001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Krysten Vazquez, MMS, RPAC 3716 108th St, Corona, NY 11368-2025 Ph: (718) 651-4000 | Krysten Vazquez, MMS, RPAC 3716 108th St, Corona, NY 11368-2025 Ph: (718) 651-4000 |
Ruoru Wong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3717 111th St Apt 5e, Corona, NY 11368 Phone: 347-893-4912 |
Jose Dario Ovalle, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 11 Roosevelt Ave., Corona, NY 11368 Phone: 717-898-5200 Fax: 718-898-3673 |
Mr. Luis A Blanco, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10211 Roosevelt Ave, Corona, NY 11368 Phone: 718-898-1386 Fax: 718-898-1093 |
Ms. Caroline Leung, PA-C, RD Physician Assistant Medicare: Medicare Enrolled Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 |
Batya Papa, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3911 104th St Fl 2, Corona, NY 11368 Phone: 718-440-8375 Fax: 718-424-0450 |
Dr. Dominic Kanhai Hardatt, DMSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5828 99th St, Corona, NY 11368 Phone: 718-502-9867 |
Christian Diaz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 |