Nicolas Mavromoustakos, in Huntington, NY - Medicare Physician Assistant

Nicolas Mavromoustakos, is a medicare enrolled "Physician Assistant" in Huntington, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 14 Birch Ave, Huntington, New York. You can reach out to his office (for appointments etc.) via phone at (631) 662-5714.

Nicolas Mavromoustakos is licensed to practice in New York (license number 026722) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003440504.

Contact Information

	Nicolas Mavromoustakos,
	14 Birch Ave, Huntington, NY 11743-4655
	(631) 662-5714
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicolas Mavromoustakos
Gender	Male
Speciality	Physician Assistant
Experience	4 Years
Location	14 Birch Ave, Huntington, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicolas Mavromoustakos graduated from nursing school in 2020

NPI Data:

NPI Number: 1003440504
Provider Enumeration Date: 02/24/2020
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9638564594
Enrollment ID: I20220312000009

Medical Identifiers

Medical identifiers for Nicolas Mavromoustakos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003440504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	026722 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ns/lij Hs Southside Hospital	Bay shore, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5099

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. Nicolas Mavromoustakos 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
Nicolas Mavromoustakos, 14 Birch Ave, Huntington, NY 11743-4655 Ph: () -	Nicolas Mavromoustakos, 14 Birch Ave, Huntington, NY 11743-4655 Ph: (631) 662-5714

Reviews and Comments

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Nicolas Mavromoustakos, - Medicare Physician Assistant in Huntington, NY