Ms Marissa Lyann Carmine, PA -C is a medicare enrolled "Physician Assistant" in Wallkill, New York. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cornerstone Family Healthcare and her current practice location is
24 Old Fire House Rd, Wallkill, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 393-6015.
Ms Marissa Lyann Carmine is licensed to practice in New York (license number 023906) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467014472.
Provider's Profile
| Full Name | Ms Marissa Lyann Carmine |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 24 Old Fire House Rd, Wallkill, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Marissa Lyann Carmine graduated from nursing school in 2019
NPI Data:
- NPI Number: 1467014472
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 08/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1153653928
- Enrollment ID: I20191028002108
Medical Identifiers
Medical identifiers for Ms Marissa Lyann Carmine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467014472 | NPI | - | NPPES |
| 104428864-0001 | Medicaid | PA | |
| 05823914 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 023906 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cornerstone Family Healthcare | 4880610393 | 67 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Marissa Lyann Carmine allows following entities to bill medicare on her behalf.
| Entity Name | Cornerstone Family Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689669079
PECOS PAC ID: 4880610393
Enrollment ID: O20051024000183 |
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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. Ms Marissa Lyann Carmine 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 |
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Ms Marissa Lyann Carmine, PA -C
2570 Route 9w Ste 10,
Cornwall, NY 12518-1370
Ph: (845) 220-3100 | Ms Marissa Lyann Carmine, PA -C
24 Old Fire House Rd,
Wallkill, NY 12589-4600
Ph: (845) 393-6015 |
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