Rebeca Wine, is a
Physician Assistant physician based in New York, New York. Rebeca Wine is licensed to practice in New York (license number ) and her current practice location is 535 W 110th St Apt 1e, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 280-4740.
NPI number for Rebeca Wine is 1174388680 and her current mailing address is 968 E Lawn Dr, Teaneck, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174388680.
Physician's Profile
| Full Name | Rebeca Wine |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 535 W 110th St Apt 1e, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174388680
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 01/23/2025
Medical Identifiers
Medical identifiers for Rebeca Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174388680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 031585 (New York) | Secondary |
| 363A00000X | Physician Assistant | (New York) | Primary |
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. Rebeca Wine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rebeca Wine,
968 E Lawn Dr,
Teaneck, NJ 07666-6641
Ph: (914) 318-5931 | Rebeca Wine,
535 W 110th St Apt 1e,
New York, NY 10025-2021
Ph: (212) 280-4740 |
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