Avery F Marzulla, PA is a medicare enrolled "Hospitalist" in Ithaca, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cayuga Medical Center At Ithaca and her current practice location is
101 Dates Dr, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 274-4011.
Avery F Marzulla is licensed to practice in New York (license number 015101) 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 1639453988.
Provider's Profile
| Full Name | Avery F Marzulla |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 101 Dates Dr, Ithaca, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Avery F Marzulla graduated from nursing school in 2011
NPI Data:
- NPI Number: 1639453988
- Provider Enumeration Date: 10/05/2011
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173796778
- Enrollment ID: I20111026000705
Medical Identifiers
Medical identifiers for Avery F Marzulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639453988 | NPI | - | NPPES |
| 01995615 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 23 015101 (New York) | Secondary |
| 208M00000X | Hospitalist | 015101 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cayuga Medical Center At Ithaca | 7214847367 | 32 |
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. Avery F Marzulla 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 |
|---|
Avery F Marzulla, PA
101 Dates Dr,
Ithaca, NY 14850-1342
Ph: (607) 274-4011 | Avery F Marzulla, PA
101 Dates Dr,
Ithaca, NY 14850-1342
Ph: (607) 274-4011 |
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