| Mr Marc Thomas Civitano, PA | |
|
600 Mamaroneck Ave, Suite 101, Harrison, NY 10528-1635 | |
| (914) 686-0111 | |
| (914) 686-8964 |
| Full Name | Mr Marc Thomas Civitano |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 600 Mamaroneck Ave, Harrison, 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 |
|---|---|---|---|
| 1578615621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 011059 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westchester Medical Center | Valhalla, NY | Hospital |
| Montefiore New Rochelle Hospital | New rochelle, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Orthopaedics, Pllc | 3577454057 | 8 |
| Entity Name | Specialty Orthopaedics, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124153002 PECOS PAC ID: 3577454057 Enrollment ID: O20040323001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marc Thomas Civitano, PA 600 Mamaroneck Ave, Suite 101, Harrison, NY 10528-1635 Ph: (914) 686-0111 | Mr Marc Thomas Civitano, PA 600 Mamaroneck Ave, Suite 101, Harrison, NY 10528-1635 Ph: (914) 686-0111 |
Mrs. Danielle Nicole Maucieri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17 Gleason Pl, Harrison, NY 10528 Phone: 914-497-9578 |
Michelle Sophy Huck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 440 Mamaroneck Ave Ste 412, Harrison, NY 10528 Phone: 914-761-7070 |
Randa Nassar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 440 Mamaroneck Ave Ste 505, Harrison, NY 10528 Phone: 440-462-1400 |
Arianna Bakst, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 Rolling Hills Ln, Harrison, NY 10528 Phone: 914-588-5610 |
Courtney Leonard Kuhn, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Mamaroneck Ave, Suite 101, Harrison, NY 10528 Phone: 914-686-0111 Fax: 914-686-8964 |
Anthony Angeloni, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 440 Mamaroneck Ave Ste 201, Harrison, NY 10528 Phone: 646-380-2600 |
Tyler William Dixon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Mamaroneck Ave Ste 200, Harrison, NY 10528 Phone: 888-636-7840 |