| Mr Justin Lloyd Fink, PA-C | |
|
148 Natures Ln, Miller Place, NY 11764-3137 | |
| (631) 636-6888 | |
| (631) 209-5129 |
| Full Name | Mr Justin Lloyd Fink |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 148 Natures Ln, Miller Place, 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 |
|---|---|---|---|
| 1568714665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016184 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Medical Services Pc | 7012016009 | 341 |
| Community Medical Wellness Pc | 6709128697 | 22 |
| Entity Name | Port Emergency Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912988395 PECOS PAC ID: 1456376177 Enrollment ID: O20051012000370 |
| Entity Name | Samaritan Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
| Entity Name | Community Medical Wellness PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073002473 PECOS PAC ID: 6709128697 Enrollment ID: O20190424002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Lloyd Fink, PA-C 148 Natures Ln, Miller Place, NY 11764-3137 Ph: (631) 636-6888 | Mr Justin Lloyd Fink, PA-C 148 Natures Ln, Miller Place, NY 11764-3137 Ph: (631) 636-6888 |
Kelsey Waisanen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 Sylvan Ave, Miller Place, NY 11764 Phone: 631-928-4888 |
Kristina Zuzzolo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Route 25a, Miller Place, NY 11764 Phone: 631-744-6666 Fax: 631-744-0525 |
Laurie J Wallace, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 765 Route 25a Ste 6, Miller Place, NY 11764 Phone: 631-320-3200 |
Mr. Daniel R. Raio, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Natures Ln, Miller Place, NY 11764 Phone: 631-636-6888 Fax: 631-209-5129 |
Yama Qaderi, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 292 Parkside Ave, Miller Place, NY 11764 Phone: 631-849-5281 |
Kristina Joan Denenkamp, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 38 Manor Dr, Miller Place, NY 11764 Phone: 631-681-9789 |