Maygan Procino, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Ronkonkoma, New York. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Shore - Lij Anesthesiology, Pc, New York University and her current practice location is
121 Webster Ave, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 942-6328.
Maygan Procino is licensed to practice in New York (license number 719622) 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 1164252201.
Provider's Profile
| Full Name | Maygan Procino |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 121 Webster Ave, Lake Ronkonkoma, 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:
- Maygan Procino graduated from nursing school in 2025
NPI Data:
- NPI Number: 1164252201
- Provider Enumeration Date: 08/05/2024
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789175142
- Enrollment ID: I20251113000667
Medical Identifiers
Medical identifiers for Maygan Procino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164252201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 719622 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Anesthesiology, Pc | 1153602453 | 990 |
| New York University | 1355232422 | 5925 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maygan Procino allows following entities to bill medicare on her behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569 |
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| Entity Name | North Shore - Lij Anesthesiology, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498 |
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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. Maygan Procino 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 |
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Maygan Procino,
121 Webster Ave,
Lake Ronkonkoma, NY 11779-1670
Ph: Not Available | Maygan Procino,
121 Webster Ave,
Lake Ronkonkoma, NY 11779-1670
Ph: (631) 942-6328 |
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