| Megan Wider, PA-C | |
|
900 Franklin Ave, Valley Stream, NY 11580 | |
| (516) 256-6306 | |
| Not Available |
| Full Name | Megan Wider |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 900 Franklin Ave, Valley Stream, 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 |
|---|---|---|---|
| 1811206345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA4058 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | 014497 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | John T Mather Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467249334 PECOS PAC ID: 1254237753 Enrollment ID: O20250701003602 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Wider, PA-C 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (516) 256-6306 | Megan Wider, PA-C 900 Franklin Ave, Valley Stream, NY 11580 Ph: (516) 256-6306 |
Mr. Alfonso Manuel Azucar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 |
Bruna Faria Martins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Kaitlyn Rae Roeda, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Jake Bresnihan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Ms. Mariann Margaret Braito, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Mr. Preston Darian Totesau-johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 66 Fletcher Ave, Valley Stream, NY 11580 Phone: 917-216-1142 |
Nicholas Crozier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |