| Kim Staples, RPA-C | |
|
554 Larkfield Rd, Ste 101, East Northport, NY 11731-4205 | |
| (631) 386-9166 | |
| Not Available |
| Full Name | Kim Staples |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 554 Larkfield Rd, East Northport, 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 |
|---|---|---|---|
| 1538597463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 017142 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Medical Pc | 3375701568 | 5120 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Staples, RPA-C 554 Larkfield Rd, Ste 101, East Northport, NY 11731-4205 Ph: (631) 368-9166 | Kim Staples, RPA-C 554 Larkfield Rd, Ste 101, East Northport, NY 11731-4205 Ph: (631) 386-9166 |
Mr. Richard Thailer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19 Mansfield Ln S, East Northport, NY 11731 Phone: 631-334-0627 | |
Nina Erin Callahan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Catherine St, East Northport, NY 11731 Phone: 631-896-8579 | |
Bliss Nicole Lanzelotti, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 161 Daly Rd, East Northport, NY 11731 Phone: 516-581-0395 | |
Alisha Marie Lautsch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 297 Town Line Rd, East Northport, NY 11731 Phone: 631-223-6636 | |
Dina Marie Rivera, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4199 Jericho Tpke, East Northport, NY 11731 Phone: 631-238-3066 | |
Jesse Katz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 4th Avenue, East Northport, NY 11731 Phone: 631-664-5880 |