Dr Daisy Medina-kreppein, NURSE PRACTITIONER | |
2280 N Ocean Ave, Inside Kmart, Farmingville, NY 11738-2911 | |
(631) 282-8450 | |
(631) 320-1300 |
Full Name | Dr Daisy Medina-kreppein |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2280 N Ocean Ave, Farmingville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487656112 | NPI | - | NPPES |
02827998 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 491154 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 334130 (New York) | Primary |
Entity Name | Queens Medical Health Wellness Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912431321 PECOS PAC ID: 1456608058 Enrollment ID: O20180726002956 |
Mailing Address | Practice Location Address |
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Dr Daisy Medina-kreppein, NURSE PRACTITIONER 8315 98th St, Apt 2c, Woodhaven, NY 11421-1601 Ph: (718) 850-5077 | Dr Daisy Medina-kreppein, NURSE PRACTITIONER 2280 N Ocean Ave, Inside Kmart, Farmingville, NY 11738-2911 Ph: (631) 282-8450 |
Ms. Margaret M Sheehan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Granny Rd, Farmingville, NY 11738 Phone: 631-696-4357 | |
Miss Marie Sonie Fils-aime, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400-h Horseblock Road, Suite H, Farmingville, NY 11788 Phone: 631-451-2211 | |
Monica Landry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 College Hills Dr, Farmingville, NY 11738 Phone: 631-559-1470 | |
Ingrid Gordon-patterson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd, Ste H, Farmingville, NY 11738 Phone: 631-451-2211 Fax: 631-451-1463 | |
Michele L Brunner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Tower Hill Ave, Farmingville, NY 11738 Phone: 631-766-6831 | |
Mr. Michael Gerard Bernaudo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd Ste H, Farmingville, NY 11738 Phone: 631-233-9490 | |
Jessica Romano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Horseblock Rd Ste H, Farmingville, NY 11738 Phone: 631-233-9490 |