| Samantha Haley Baca, | |
|
125 Oakland Ave Ste 203, Port Jefferson, NY 11777-2130 | |
| (631) 978-7590 | |
| Not Available |
| Full Name | Samantha Haley Baca |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 125 Oakland Ave Ste 203, Port Jefferson, 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 |
|---|---|---|---|
| 1851120463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 354678-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor View Medical Services Pc | 5092865873 | 50 |
| Entity Name | Harbor View Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861636219 PECOS PAC ID: 5092865873 Enrollment ID: O20090617000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Haley Baca, 125 Oakland Ave Ste 203, Port Jefferson, NY 11777-2130 Ph: (631) 978-7590 | Samantha Haley Baca, 125 Oakland Ave Ste 203, Port Jefferson, NY 11777-2130 Ph: (631) 978-7590 |
Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999 | |
Katlyn Ann Conville, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2565 | |
Kathleen Fanelli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462 | |
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786 | |
Ms. Christine Julia Mckeon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777 Phone: 631-473-3877 | |
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586 |