| Mr James Missig, CRNA | |
|
5 5th Ave, Suite 1, Bay Shore, NY 11706-7368 | |
| (631) 277-1803 | |
| (631) 581-0015 |
| Full Name | Mr James Missig |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 5 5th Ave, Bay Shore, 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 |
|---|---|---|---|
| 1093819484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 446026-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5027 |
| Quality Medical Management Corp | 5799193074 | 22 |
| Mark J Coronel Md Pc | 5890958979 | 7 |
| Entity Name | Brookhaven Gastroenterology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447456652 PECOS PAC ID: 3274437272 Enrollment ID: O20031121000279 |
| Entity Name | North American Partners In Anesthesia Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
| Entity Name | Endoscopy Center Of Long Island Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770718009 PECOS PAC ID: 2668370123 Enrollment ID: O20090416000311 |
| Entity Name | Twin Forks Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780976639 PECOS PAC ID: 7315118809 Enrollment ID: O20110913000539 |
| Entity Name | Mark J Coronel Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639445869 PECOS PAC ID: 5890958979 Enrollment ID: O20120530000365 |
| Entity Name | North Shore Digestive Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407114960 PECOS PAC ID: 2860642592 Enrollment ID: O20121015000668 |
| Entity Name | Gastroenterology & Liver Disease Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891034500 PECOS PAC ID: 7113162439 Enrollment ID: O20130314000250 |
| Entity Name | Long Island Digestive Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1235551052 PECOS PAC ID: 3971728221 Enrollment ID: O20140701000364 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Entity Name | North Fork Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1295365864 PECOS PAC ID: 3870922537 Enrollment ID: O20200331002185 |
| Entity Name | North Fork Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275134314 PECOS PAC ID: 3870922537 Enrollment ID: O20201217000869 |
| Entity Name | Quality Medical Management Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20210427000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Missig, CRNA 5 5th Ave, Suite 1, Bay Shore, NY 11706-7368 Ph: (631) 277-1803 | Mr James Missig, CRNA 5 5th Ave, Suite 1, Bay Shore, NY 11706-7368 Ph: (631) 277-1803 |
Dr. Caitlin Eyerman, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 718-309-8868 | |
Mrs. Brittany Lynn Weber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Melody Schaal, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 516-823-8407 | |
Benjamin Kantor, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Jessica Danielle Gregory, CRNA, RN, BSN, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 516-734-7000 |