Mrs Amy Mattielli, PA-C - Medicare Physician Assistant in Staten Island, NY

Mrs Amy Mattielli, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Staten Island, New York. Her current practice location is 2454 Hylan Boulevard, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 233-1300.

Mrs Amy Mattielli is licensed to practice in New York (license number 006636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013980606.

Contact Information

Mrs Amy Mattielli, PA-C
2454 Hylan Boulevard,
Staten Island, NY 10306
(718) 233-1300
(718) 980-9728

Map and Direction




Provider's Profile

Full NameMrs Amy Mattielli
GenderFemale
SpecialityPhysician Assistant - Surgical
Location2454 Hylan Boulevard, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013980606
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062823545
  • Enrollment ID: I20201204002565

Medical Identifiers

Medical identifiers for Mrs Amy Mattielli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013980606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 006636 (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. Mrs Amy Mattielli 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 AddressPractice Location Address
Mrs Amy Mattielli, PA-C
124 Cindy St,
Old Bridge, NJ 08857-3023

Ph: (732) 679-1248
Mrs Amy Mattielli, PA-C
2454 Hylan Boulevard,
Staten Island, NY 10306

Ph: (718) 233-1300

Reviews and Comments


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