| Lauren Grace Moccaldi, | |
|
2 Crick Holly Ln, East Islip, NY 11730-3813 | |
| (631) 316-2562 | |
| Not Available |
| Full Name | Lauren Grace Moccaldi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2 Crick Holly Ln, East Islip, 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 |
|---|---|---|---|
| 1659025666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| 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 |
|---|---|
| Lauren Grace Moccaldi, 2 Crick Holly Ln, East Islip, NY 11730-3813 Ph: (631) 316-2562 | Lauren Grace Moccaldi, 2 Crick Holly Ln, East Islip, NY 11730-3813 Ph: (631) 316-2562 |
Miss Jennifer Lynn Steinberg, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 369 E Main Street, Ste 3, East Islip, NY 11730 Phone: 631-581-4500 Fax: 631-581-5905 |
Shannon Marie Dipaola, Physician Assistant Medicare: Medicare Enrolled Practice Location: 131 Shinnecock Ln, East Islip, NY 11730 Phone: 516-663-3853 |
Gina Marie Beltrami, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8 Laurel Ave, East Islip, NY 11730 Phone: 631-224-4442 Fax: 631-224-4446 |
Shane Thomas Martensen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 The Moor, East Islip, NY 11730 Phone: 631-383-2476 |
Jacqueline Mary Roulette, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Laurel Ave, East Islip, NY 11730 Phone: 631-224-4442 |
Ms. Melissa Pauline Hoerning, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Timberpoint Rd, East Islip, NY 11730 Phone: 631-827-9351 |
Ms. Theresa Walsh, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 369 E Main St, Suite 3, East Islip, NY 11730 Phone: 631-581-4500 Fax: 631-581-5905 |