| Mrs Amanda Mackillop, NP | |
|
212 5th Ave, Bay Shore, NY 11706-6408 | |
| (917) 864-7560 | |
| Not Available |
| Full Name | Mrs Amanda Mackillop |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 212 5th Ave, Bay Shore, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770128753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 780342 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403484 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meeting House Lane Medical Practice Pc | 6800972589 | 117 |
| Entity Name | Meeting House Lane Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Mackillop, NP 15 N Ingelore Ct, Smithtown, NY 11787-1544 Ph: (631) 522-3482 | Mrs Amanda Mackillop, NP 212 5th Ave, Bay Shore, NY 11706-6408 Ph: (917) 864-7560 |
Cheryl Schoedler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 Cassel Ave, Bay Shore, NY 11706 Phone: 631-969-0546 | |
Allison Marie Kornahrens, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Ithaca St, Bay Shore, NY 11706 Phone: 631-252-3249 | |
Marie Burkhardt, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3818 Fax: 631-968-3698 | |
Deborah Beauplan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Mrs. Teresa Sara More, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 E Forks Rd, Bay Shore, NY 11706 Phone: 631-664-3106 | |
Emmanuella E Viard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 854 Sunrise Hwy # 1037, Bay Shore, NY 11706 Phone: 631-621-8348 Fax: 563-200-5520 | |
Susan Aiken, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6707 |