Mr Richard Thailer, PA-C in East Northport, NY

Mr Richard Thailer, PA-C is a Physician Assistant based in East Northport, New York. Mr Richard Thailer is licensed to practice in New York (license number 1490) and his current practice location is 19 Mansfield Ln S, East Northport, New York. He can be reached at his office (for appointments etc.) via phone at (631) 334-0627.

NPI number for Mr Richard Thailer is 1023651643 and his current mailing address is 19 Mansfield Ln S, East Northport, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023651643.

Contact Information

	Mr Richard Thailer, PA-C
	19 Mansfield Ln S, East Northport, NY 11731-4134
	(631) 334-0627
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Richard Thailer
Gender	Male
Speciality	Physician Assistant
Location	19 Mansfield Ln S, East Northport, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023651643
Provider Enumeration Date: 10/27/2019
Last Update Date: 10/27/2019

Medical Identifiers

Medical identifiers for Mr Richard Thailer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023651643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1490 (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. Mr Richard Thailer 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 Address	Practice Location Address
Mr Richard Thailer, PA-C 19 Mansfield Ln S, East Northport, NY 11731-4134 Ph: (631) 334-0627	Mr Richard Thailer, PA-C 19 Mansfield Ln S, East Northport, NY 11731-4134 Ph: (631) 334-0627

Reviews and Comments

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Mr Richard Thailer, PA-C - Physician Assistant in East Northport, NY