Mr Sam M Fassnacht, in Patchogue, NY - Medicare Physician Assistant

Mr Sam M Fassnacht, is a medicare enrolled "Physician Assistant - Medical" in Patchogue, New York. His current practice location is 130 Medford Ave, Patchogue, New York. You can reach out to his office (for appointments etc.) via phone at (631) 475-5734.

Mr Sam M Fassnacht is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558670463.

Contact Information

	Mr Sam M Fassnacht,
	130 Medford Ave, Patchogue, NY 11772-1206
	(631) 475-5734
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sam M Fassnacht
Gender	Male
Speciality	Physician Assistant - Medical
Location	130 Medford Ave, Patchogue, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558670463
Provider Enumeration Date: 09/27/2010
Last Update Date: 12/28/2016

Medicare PECOS Information:

PECOS PAC ID: 6800109364
Enrollment ID: I20150714000273

Medical Identifiers

Medical identifiers for Mr Sam M Fassnacht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558670463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sam M Fassnacht is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Sam M Fassnacht, 130 Medford Ave, Patchogue, NY 11772-1206 Ph: () -	Mr Sam M Fassnacht, 130 Medford Ave, Patchogue, NY 11772-1206 Ph: (631) 475-5734

Reviews and Comments

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Mr Sam M Fassnacht, - Medicare Physician Assistant in Patchogue, NY