Lisa Mazza, PA in Long Island City, NY - Medicare Physician Assistant

Lisa Mazza, PA is a medicare enrolled "Physician Assistant - Medical" in Long Island City, New York. Her current practice location is 2510 30th Ave, Long Island City, New York. You can reach out to her office (for appointments etc.) via phone at (718) 267-4245.

Lisa Mazza is licensed to practice in New York (license number 005839) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457472201.

Contact Information

	Lisa Mazza, PA
	2510 30th Ave, Long Island City, NY 11102-2448
	(718) 267-4245
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Mazza
Gender	Female
Speciality	Physician Assistant - Medical
Location	2510 30th Ave, Long Island City, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457472201
Provider Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294836532
Enrollment ID: I20170425000294

Medical Identifiers

Medical identifiers for Lisa Mazza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457472201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	005839 (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. Lisa Mazza 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
Lisa Mazza, PA 627 Donna Dr, Oyster Bay, NY 11771-4512 Ph: (516) 922-7390	Lisa Mazza, PA 2510 30th Ave, Long Island City, NY 11102-2448 Ph: (718) 267-4245

Reviews and Comments

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Lisa Mazza, PA - Medicare Physician Assistant in Long Island City, NY