Mr Eugene Mark Connolly, RPA-C is a medicare enrolled "Physician Assistant - Medical" in Amagansett, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2022 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore Lij Urgent Care Pc and his current practice location is
518 Montauk Hwy, Suite 102, Amagansett, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 267-5373.
Mr Eugene Mark Connolly is licensed to practice in New York (license number 010108) 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 1013121474.
Provider's Profile
| Full Name | Mr Eugene Mark Connolly |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 518 Montauk Hwy, Amagansett, 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 Eugene Mark Connolly attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2022
NPI Data:
- NPI Number: 1013121474
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 02/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183946767
- Enrollment ID: I20141210001127
Medical Identifiers
Medical identifiers for Mr Eugene Mark Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013121474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 010108 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore Lij Urgent Care Pc | 6002131778 | 302 |
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 Eugene Mark Connolly 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 Eugene Mark Connolly, RPA-C
57 Hampton Rd, Ste 201,
Southampton, NY 11968-4973
Ph: (631) 283-1126 | Mr Eugene Mark Connolly, RPA-C
518 Montauk Hwy, Suite 102,
Amagansett, NY 11930-2110
Ph: (631) 267-5373 |
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