| Stacey Ann Dimitriou-ciaccio, RPA C | |
|
101 Hospital Road, Medical Center, Patchogue, NY 11772 | |
| (631) 687-2953 | |
| (610) 617-6280 |
| Full Name | Stacey Ann Dimitriou-ciaccio |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 101 Hospital Road, Patchogue, 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 |
|---|---|---|---|
| 1396788766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 009689 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Medical Pc | 3375701568 | 5099 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Ann Dimitriou-ciaccio, RPA C Po Box 13700-1378, Brookhaven Memorial Hospital Er, Philadelphia, PA 19191-1378 Ph: (800) 666-2455 | Stacey Ann Dimitriou-ciaccio, RPA C 101 Hospital Road, Medical Center, Patchogue, NY 11772 Ph: (631) 687-2953 |
Joanna Tutrone, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
Courtney Bofinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
David Ira Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Road, Medical Center, Patchogue, NY 11772 Phone: 631-687-2953 Fax: 610-617-6280 | |
Annette Pope-morris, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Theresa Rosko, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Miss Stephanie Salinas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 E Woodside Ave, Patchogue, NY 11772 Phone: 631-317-9364 | |
Ms. Kathryn Elizabeth Walton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |