| Matthew Klics, PA-C | |
|
635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935 | |
| (631) 474-0008 | |
| Not Available |
| Full Name | Matthew Klics |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 635 Belle Terre Rd, Port Jefferson, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972057529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0200111 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| True North Medical Group Pc | 7012194806 | 185 |
| Entity Name | Orthopaedics Spine and Sports Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548490063 PECOS PAC ID: 0648318063 Enrollment ID: O20091118000164 |
| Entity Name | True North Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659883486 PECOS PAC ID: 7012194806 Enrollment ID: O20171229000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Klics, PA-C 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935 Ph: Not Available | Matthew Klics, PA-C 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935 Ph: (631) 474-0008 |
Ms. Christie Lee Cotty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777 Phone: 631-298-4008 |
Loretta Didwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-474-4667 |
Igor Lizogubenko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 |
Julia Elizabeth Fitzpatrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-306-7949 |
Casey Ward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 |
Mr. Matthew Delph, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 |
Francis Richard Sicari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 |