Mr Angel Salvador Maita-zapata, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Mohegan Lake, New York. He went to University Of Nebraska College Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Urgent Care Medical Of New York Llc, Urgent Care Medical Associates, Llc and his current practice location is
3085 E Main St Ste 12a, Mohegan Lake, New York. You can reach out to his office (for appointments etc.) via phone at
(860) 650-3848.
Mr Angel Salvador Maita-zapata is licensed to practice in New York (license number 027553) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871773358.
Provider's Profile
| Full Name | Mr Angel Salvador Maita-zapata |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 3085 E Main St Ste 12a, Mohegan Lake, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Angel Salvador Maita-zapata attended and graduated from University Of Nebraska College Of Medicine in 2011
NPI Data:
- NPI Number: 1871773358
- Provider Enumeration Date: 11/13/2007
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648406207
- Enrollment ID: I20231128000949
Medical Identifiers
Medical identifiers for Mr Angel Salvador Maita-zapata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871773358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 6705 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA101603 (Massachusetts) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 25MP00820700 (New Jersey) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 027553 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Care Medical Of New York Llc | 5890071443 | 29 |
| Urgent Care Medical Associates, Llc | 7214107515 | 105 |
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. Mr Angel Salvador Maita-zapata 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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Mr Angel Salvador Maita-zapata, PHYSICIAN ASSISTANT
3085 E Main St Ste 12a,
Mohegan Lake, NY 10547-1542
Ph: (860) 650-3848 | Mr Angel Salvador Maita-zapata, PHYSICIAN ASSISTANT
3085 E Main St Ste 12a,
Mohegan Lake, NY 10547-1542
Ph: (860) 650-3848 |
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