| Mr John Bosworth, RPA | |
|
4904 19th Ave, Astoria, NY 11105-1002 | |
| (718) 777-3494 | |
| (718) 777-3645 |
| Full Name | Mr John Bosworth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4904 19th Ave, Astoria, 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 |
|---|---|---|---|
| 1780814947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 005532 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Bosworth, RPA 4904 19th Ave, Astoria, NY 11105-1002 Ph: (718) 777-3494 | Mr John Bosworth, RPA 4904 19th Ave, Astoria, NY 11105-1002 Ph: (718) 777-3494 |
Jean Luc Bernard, RPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494 |
Kamilia Ait Belkacem, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 347-862-8380 |
Jeri Latrice Crenshaw, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3244 31st St, Astoria, NY 11106 Phone: 718-956-6565 Fax: 718-956-7463 |
Jennifer Wang, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-267-4262 |
Elizabeth Tova Oliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3141 45th St, Astoria, NY 11103 Phone: 718-274-2600 Fax: 718-274-1772 |
Maria Kurth, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3007 36th Ave, Astoria, NY 11106 Phone: 917-310-3371 Fax: 516-938-1554 |
Augustine Gnalian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 |