| Mary Nickerson, PA | |
|
75 Seminary Hill Rd, Carmel, NY 10512-1921 | |
| (518) 952-8142 | |
| Not Available |
| Full Name | Mary Nickerson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 75 Seminary Hill Rd, Carmel, 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 |
|---|---|---|---|
| 1346316478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006250 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rego Park Counseling Llc | 8921429762 | 6 |
| Entity Name | Rego Park Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235760927 PECOS PAC ID: 8921429762 Enrollment ID: O20200602002373 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Nickerson, PA Po Box 31094, Hartford, CT 06150-1094 Ph: Not Available | Mary Nickerson, PA 75 Seminary Hill Rd, Carmel, NY 10512-1921 Ph: (518) 952-8142 |
Frank Fasano, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 664 Stoneleigh Ave Ste 300, Somers Orthopaedic Surgery & Sports Med Group Pllc, Carmel, NY 10512 Phone: 845-278-8400 Fax: 845-278-4326 |
Tanya Gaynor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 Seminary Hill Rd, Carmel, NY 10512 Phone: 518-952-8142 Fax: 518-952-8109 |
Ashley John, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Lovely Ln, Carmel, NY 10512 Phone: 914-589-2349 |
Jenna Nicole Lopiccolo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1844 Route 6, Carmel, NY 10512 Phone: 914-380-8588 |
Ryan Christopher Hope, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 34 Wellington Dr, Carmel, NY 10512 Phone: 845-590-0931 |
Rozalia Duda, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 670 Stoneleigh Ave, Carmel, NY 10512 Phone: 845-279-5711 |
Pamela Stavrakos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 672 Stoneleigh Ave, Carmel, NY 10512 Phone: 845-279-2000 |