| Stacyann M Evans, | |
|
160 Beachview St, Copiague, NY 11726-3602 | |
| (631) 464-1497 | |
| Not Available |
| Full Name | Stacyann M Evans |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 160 Beachview St, Copiague, 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 |
|---|---|---|---|
| 1295593663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F353349-01 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York Pain Consultants Llc | 0749260107 | 17 |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Bronx Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20200407002099 |
| Entity Name | Mill Basin Medical Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346006202 PECOS PAC ID: 9133566128 Enrollment ID: O20240326003311 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacyann M Evans, 160 Beachview St, Copiague, NY 11726-3602 Ph: (631) 464-1497 | Stacyann M Evans, 160 Beachview St, Copiague, NY 11726-3602 Ph: (631) 464-1497 |
Tanya Monique Sydnor Holmes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-786-0147 | |
Christopher Zeoli, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Oak St, Fegs Counseling Center, Copiague, NY 11726 Phone: 631-691-7080 | |
Nazaire Baptiste, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Parkside Ct, Copiague, NY 11726 Phone: 347-827-9551 |