| Mr Joseph S Fanelli, R-PA-C (PHYSICIAN AS | |
|
192 East Shore Rd, Great Neck, NY 11023 | |
| (516) 487-4500 | |
| (516) 487-7439 |
| Full Name | Mr Joseph S Fanelli |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 192 East Shore Rd, Great Neck, 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 |
|---|---|---|---|
| 1184735342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0099421 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Medical Associates Pc | 0547673816 | 84 |
| Entity Name | Chs Physician Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407089345 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | Comprehensive Medical Services New York 2008, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134454960 PECOS PAC ID: 2163561762 Enrollment ID: O20091119000607 |
| 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 |
| Entity Name | Vantage Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538642996 PECOS PAC ID: 0547673816 Enrollment ID: O20210105001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph S Fanelli, R-PA-C (PHYSICIAN AS 192 East Shore Rd, Great Neck, NY 11023 Ph: (516) 487-4500 | Mr Joseph S Fanelli, R-PA-C (PHYSICIAN AS 192 East Shore Rd, Great Neck, NY 11023 Ph: (516) 487-4500 |
Michelle Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Northern Blvd, Suite 300, Great Neck, NY 11021 Phone: 516-627-8717 |
John Palermo, PHYSICAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Northern Blvd, Ste 103, Great Neck, NY 11021 Phone: 516-466-9300 Fax: 516-466-9353 |
Deborah Ishaal, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1010 Northern Blvd, Suite 208, Great Neck, NY 11021 Phone: 718-888-1467 Fax: 516-869-8653 |
Michaela Espadas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 E Mill Dr Apt 3g, Great Neck, NY 11021 Phone: 516-581-3266 |
Rachel Julienne Dellaragione, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Northern Blvd Ste 310, Great Neck, NY 11021 Phone: 516-321-8900 |
Ghazaleh Yasmeh, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 60 Knights Bridge Rd, Apt# 1d, Great Neck, NY 11021 Phone: 818-445-1724 |
Mr. Jacob Henry Ettinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Canterbury Rd, Apartment #3, Great Neck, NY 11021 Phone: 516-570-6015 |