Stacey Digiacomo, PA - Medicare Physician Assistant in Port Jefferson Station, NY

Stacey Digiacomo, PA is a medicare enrolled "Physician Assistant" in Port Jefferson Station, New York. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Square Care Medical Group Llp and her current practice location is 4 Roosevelt Ave, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-0500.

Stacey Digiacomo is licensed to practice in New York (license number 007238) 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 1023233103.

Contact Information

Stacey Digiacomo, PA
4 Roosevelt Ave,
Port Jefferson Station, NY 11776-3363
(631) 331-0500
(631) 331-1644

Map and Direction




Provider's Profile

Full NameStacey Digiacomo
GenderFemale
SpecialityPhysician Assistant
Experience24 Years
Location4 Roosevelt Ave, Port Jefferson Station, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Digiacomo graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1023233103
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 12/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395067870
  • Enrollment ID: I20160318001864

Medical Identifiers

Medical identifiers for Stacey Digiacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023233103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 007238 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Square Care Medical Group Llp701293843456

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. Stacey Digiacomo 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 AddressPractice Location Address
Stacey Digiacomo, PA
900 Merchants Concourse Ste 216,
Westbury, NY 11590-5114

Ph: (516) 226-8373
Stacey Digiacomo, PA
4 Roosevelt Ave,
Port Jefferson Station, NY 11776-3363

Ph: (631) 331-0500

Reviews and Comments


Physician Assistant Nurses in Port Jefferson Station, NY

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Medicare: Accepting Medicare Assignments
Practice Location: 4724 Nesconset Hwy, Port Jefferson Station, NY 11776
Phone: 631-474-5900    Fax: 631-828-1946

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.