| Mr John E Mitchner, PA | |
|
301 E Main St, Bay Shore, NY 11706-8408 | |
| (631) 968-3000 | |
| Not Available |
| Full Name | Mr John E Mitchner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 301 E Main St, Bay Shore, 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 |
|---|---|---|---|
| 1194743294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 000111 (New York) | Primary |
| 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 E Mitchner, PA 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000 | Mr John E Mitchner, PA 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000 |
Priyanshi Chandiwala, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 |
Erik Schaeperkoetter, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 |
Elizabeth Scuderi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1555 Sunrise Hwy, Bay Shore, NY 11706 Phone: 631-968-0588 |
Isabella Marie Piccola, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 45 Park Ave, Bay Shore, NY 11706 Phone: 631-376-0700 |
Rita Michelle Evangelista, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 46 Brentwood Rd Ste 100, Bay Shore, NY 11706 Phone: 631-647-3800 |
Mrs. Deborah Anne Maresca-palmieri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 |
Ms. Sonya Reid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 |