Maryjanine T Hausle, FNP | |
12 Pidgeon Ct, Manorville, NY 11949-2618 | |
(631) 588-4810 | |
(631) 588-4810 |
Full Name | Maryjanine T Hausle |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12 Pidgeon Ct, Manorville, 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 |
---|---|---|---|
1902115603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 336000 (New York) | Primary |
Entity Name | Samaritan Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
Mailing Address | Practice Location Address |
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Maryjanine T Hausle, FNP 12 Pidgeon Ct, Manorville, NY 11949-2618 Ph: (631) 588-4810 | Maryjanine T Hausle, FNP 12 Pidgeon Ct, Manorville, NY 11949-2618 Ph: (631) 588-4810 |
Bassey Ulo Enyenihi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 287 Wading River Road, Suite 8, Manorville, NY 11949 Phone: 631-716-5410 | |
Ms. Tara Summer Carpenter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Beechwood Dr, Manorville, NY 11949 Phone: 631-295-6107 | |
Ms. Kerri Ann Petitpain, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 Scott Ln, Manorville, NY 11949 Phone: 631-905-6890 Fax: 888-920-2296 | |
James L Earl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 496 County Rd 111, Bldg B, Manorville, NY 11949 Phone: 631-405-3200 Fax: 631-395-6010 | |
Kimberly Ann Riegel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 287 Wading River Road, Unit 2, Manorville, NY 11949 Phone: 631-591-3000 Fax: 631-591-1734 |