| Madison Schmitt, | |
|
75 N Country Rd, Port Jefferson, NY 11777-2190 | |
| (631) 473-1320 | |
| Not Available |
| Full Name | Madison Schmitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 75 N Country Rd, Port Jefferson, 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 |
|---|---|---|---|
| 1619785995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 151790 (New York) | Primary |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Schmitt, 331 Thompson St, Port Jefferson, NY 11777-1971 Ph: () - | Madison Schmitt, 75 N Country Rd, Port Jefferson, NY 11777-2190 Ph: (631) 473-1320 |
Nicole Parisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Ms. Kristen Jeanne Vetrano, NP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Scott Louis Schultz, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 |