Miss Margery Ann Shane, NP | |
2627 Hylan Boulevard, Suite C, Staten Island, NY 10306-4344 | |
(718) 351-1136 | |
(718) 667-9711 |
Full Name | Miss Margery Ann Shane |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 2627 Hylan Boulevard, Staten Island, 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 |
---|---|---|---|
1003172784 | NPI | - | NPPES |
03442679 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F337115-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F337115 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Island Medical Specialists, Pllc | 9436137817 | 5 |
Entity Name | Island Medical Specialists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407844160 PECOS PAC ID: 9436137817 Enrollment ID: O20040712000977 |
Mailing Address | Practice Location Address |
---|---|
Miss Margery Ann Shane, NP 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306-4344 Ph: (718) 351-1136 | Miss Margery Ann Shane, NP 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306-4344 Ph: (718) 351-1136 |
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553 | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773 | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146 | |
Alexis Rigo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654 | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650 |