Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT in Brentwood, NY

Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT is a Physician Assistant based in Brentwood, New York. Mr Tracy Masa Takaki is licensed to practice in New York (license number 004941) and his current practice location is 1869 Brentwood Rd, Brentwood, Brentwood, New York. He can be reached at his office (for appointments etc.) via phone at (631) 853-3400.

NPI number for Mr Tracy Masa Takaki is 1649383225 and his current mailing address is 1869 Brentwood Road, Brentwood, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649383225.

Contact Information

	Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT
	1869 Brentwood Rd, Brentwood, Brentwood, NY 11717-4625
	(631) 853-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tracy Masa Takaki
Gender	Male
Speciality	Physician Assistant
Location	1869 Brentwood Rd, Brentwood, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1649383225
Provider Enumeration Date: 08/16/2006
Last Update Date: 03/29/2011

Medical Identifiers

Medical identifiers for Mr Tracy Masa Takaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649383225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	004941 (New York)	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 Tracy Masa Takaki is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT 1869 Brentwood Road, Brentwood, NY 11717-1742 Ph: () -	Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT 1869 Brentwood Rd, Brentwood, Brentwood, NY 11717-4625 Ph: (631) 853-3400

Reviews and Comments

Physician Assistant Nurses in Brentwood, NY

Charles Lambert, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Pineland Pl, Brentwood, NY 11717 Phone: 516-356-2958
Claudia Salazar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253
Rosie Leann Del Rosario, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1556 Islip Ave, Brentwood, NY 11717 Phone: 631-234-8555 Fax: 631-236-5196
Joshua R Stockhausen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-416-5480
Frederick Patrick Kavanagh, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3400
Mr. Thomas A Glanz, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3401

Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT - Physician Assistant in Brentwood, NY