Marisa Rose Doll, PA-C is a medicare enrolled "Physician Assistant" in Yaphank, New York. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Prisma Health Urgent Care Of South Carolina Pc and her current practice location is
527 Boulevard E, Yaphank, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 504-0427.
Marisa Rose Doll is licensed to practice in South Carolina (license number 5585) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831865534.
Provider's Profile
| Full Name | Marisa Rose Doll |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 527 Boulevard E, Yaphank, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marisa Rose Doll graduated from nursing school in 2021
NPI Data:
- NPI Number: 1831865534
- Provider Enumeration Date: 08/22/2021
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719384189
- Enrollment ID: I20250310003645
Medical Identifiers
Medical identifiers for Marisa Rose Doll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831865534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 027122 (New York) | Secondary |
| 363A00000X | Physician Assistant | 5585 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 130 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Rose Doll is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marisa Rose Doll, PA-C
101 Hospital Rd,
Patchogue, NY 11772-4870
Ph: (631) 745-2857 | Marisa Rose Doll, PA-C
527 Boulevard E,
Yaphank, NY 11980-7512
Ph: (631) 504-0427 |
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