| Shayna L Berretta, | |
|
5316 Nesconset Hwy, Port Jefferson Station, NY 11776-2591 | |
| (631) 474-0707 | |
| (631) 562-2108 |
| Full Name | Shayna L Berretta |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 5316 Nesconset Hwy, Port Jefferson Station, 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 |
|---|---|---|---|
| 1396220646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 022614 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Hematology Oncology Associates Pc | 1456243641 | 474 |
| Entity Name | North Shore Hematology Oncology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Entity Name | Long Island Physician Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871906941 PECOS PAC ID: 9032436415 Enrollment ID: O20150324000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna L Berretta, 1 Research Rd, Ridge, NY 11961-2701 Ph: (631) 751-3000 | Shayna L Berretta, 5316 Nesconset Hwy, Port Jefferson Station, NY 11776-2591 Ph: (631) 474-0707 |
Kenneth Ryan Mataragas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ny-112 Building 6, Suite C, Port Jefferson Station, NY 11776 Phone: 631-732-9090 |
Stacey Digiacomo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-331-0500 Fax: 631-331-1644 |
Amanda Marie Wiermann, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: Po Box 263, Port Jefferson Station, NY 11776 Phone: 631-828-5419 Fax: 631-403-1298 |
Linda Wynne, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 815 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7267 |
Mr. Michael Gerard Schmit Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 |
Michelle Walz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Massachusetts Ave, Port Jefferson Station, NY 11776 Phone: 631-374-6910 |
Amanda Foy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-209-2827 |