Kristin Rose Mcdonough, - Physician Assistant in Hicksville, NY

Kristin Rose Mcdonough, is a Physician Assistant - Medical based in Hicksville, New York. Kristin Rose Mcdonough is licensed to practice in New York (license number 026791) and her current practice location is 55 E Old Country Rd, Hicksville, New York. She can be reached at her office (for appointments etc.) via phone at (169) 876-4285.

NPI number for Kristin Rose Mcdonough is 1639741846 and her current mailing address is 1 Atlantic Ave Apt 78, Farmingdale, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639741846.

Contact Information

Kristin Rose Mcdonough,
55 E Old Country Rd,
Hicksville, NY 11801-4293
(169) 876-4285
Not Available

Map and Direction




Provider's Profile

Full NameKristin Rose Mcdonough
GenderFemale
SpecialityPhysician Assistant - Medical
Location55 E Old Country Rd, Hicksville, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639741846
  • Provider Enumeration Date: 07/15/2021
  • Last Update Date: 11/10/2023

Medical Identifiers

Medical identifiers for Kristin Rose Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639741846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 026791 (New York)Secondary
363AM0700XPhysician Assistant - Medical 026791 (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. Kristin Rose Mcdonough 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 AddressPractice Location Address
Kristin Rose Mcdonough,
1 Atlantic Ave Apt 78,
Farmingdale, NY 11735-2772

Ph: (631) 560-5861
Kristin Rose Mcdonough,
55 E Old Country Rd,
Hicksville, NY 11801-4293

Ph: (169) 876-4285

Reviews and Comments


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