Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT - Physician Assistant in Brentwood, NY

Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT is a Physician Assistant based in Brentwood, New York. Mr Tracy Masa Takaki is licensed to practice in New York (license number 004941) and his current practice location is 1869 Brentwood Rd, Brentwood, Brentwood, New York. He can be reached at his office (for appointments etc.) via phone at (631) 853-3400.

NPI number for Mr Tracy Masa Takaki is 1649383225 and his current mailing address is 1869 Brentwood Road, Brentwood, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649383225.

Contact Information

Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT
1869 Brentwood Rd, Brentwood,
Brentwood, NY 11717-4625
(631) 853-3400
Not Available

Map and Direction




Provider's Profile

Full NameMr Tracy Masa Takaki
GenderMale
SpecialityPhysician Assistant
Location1869 Brentwood Rd, Brentwood, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649383225
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 03/29/2011

Medical Identifiers

Medical identifiers for Mr Tracy Masa Takaki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649383225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 004941 (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 Tracy Masa Takaki 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
Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT
1869 Brentwood Road,
Brentwood, NY 11717-1742

Ph: () -
Mr Tracy Masa Takaki, PHYSICIAN ASSISTANT
1869 Brentwood Rd, Brentwood,
Brentwood, NY 11717-4625

Ph: (631) 853-3400

Reviews and Comments


Physician Assistant Nurses in Brentwood, NY

Charles Lambert, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16 Pineland Pl, Brentwood, NY 11717
Phone: 516-356-2958    
Claudia Salazar, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 160 4th St, Brentwood, NY 11717
Phone: 631-273-7105    Fax: 631-273-7253
Rosie Leann Del Rosario,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1556 Islip Ave, Brentwood, NY 11717
Phone: 631-234-8555    Fax: 631-236-5196
Joshua R Stockhausen, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717
Phone: 631-416-5480    
Frederick Patrick Kavanagh, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717
Phone: 631-853-3400    
Mr. Thomas A Glanz, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717
Phone: 631-853-3401    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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