Alexandra Stang, is a medicare enrolled "Nurse Practitioner - Family" physician in East Setauket, New York. Her current practice location is
100 S Jersey Ave Unit 16, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 689-6400.
Alexandra Stang is licensed to practice in New York (license number 352426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659054831.
Physician's Profile
Full Name | Alexandra Stang |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 S Jersey Ave Unit 16, East Setauket, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659054831
- Provider Enumeration Date: 08/14/2023
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587018106
- Enrollment ID: I20230929001365
Medical Identifiers
Medical identifiers for Alexandra Stang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659054831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VX0000X | Obstetrics & Gynecology - Obstetrics | F352426-01 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 352426 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexandra Stang allows following entities to bill medicare on her behalf.
Entity Name | Square Care Medical Group Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457392763 PECOS PAC ID: 7012938434 Enrollment ID: O20051220000236 |
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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. Alexandra Stang 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 Address | Practice Location Address |
Alexandra Stang, 900 Merchants Concourse Ste 216, Westbury, NY 11590-5114 Ph: (516) 226-8373 | Alexandra Stang, 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 Ph: (631) 689-6400 |
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