Mrs Stacy Lynn Entin, PHYSICIAN ASST in Massapequa, NY

Mrs Stacy Lynn Entin, PHYSICIAN ASST is a medicare enrolled "Physician Assistant" in Massapequa, New York. Her current practice location is 79 Grand Ave, Massapequa, New York. You can reach out to her office (for appointments etc.) via phone at (516) 798-3376.

Mrs Stacy Lynn Entin is licensed to practice in New York (license number 009989-1) 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 1851459820.

Contact Information

	Mrs Stacy Lynn Entin, PHYSICIAN ASST
	79 Grand Ave, Massapequa, NY 11758
	(516) 798-3376
	(516) 798-5882

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Lynn Entin
Gender	Female
Speciality	Physician Assistant
Location	79 Grand Ave, Massapequa, 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: 1851459820
Provider Enumeration Date: 12/04/2006
Last Update Date: 10/16/2015

Medicare PECOS Information:

PECOS PAC ID: 1759685399
Enrollment ID: I20160202002040

Medical Identifiers

Medical identifiers for Mrs Stacy Lynn Entin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851459820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	009989-1 (New York)	Primary
207VG0400X	Obstetrics & Gynecology - Gynecology	009989-01 (New York)	Secondary

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. Mrs Stacy Lynn Entin 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
Mrs Stacy Lynn Entin, PHYSICIAN ASST 203 Candee Ave, Sayville, NY 11782-3059 Ph: (631) 750-5575	Mrs Stacy Lynn Entin, PHYSICIAN ASST 79 Grand Ave, Massapequa, NY 11758 Ph: (516) 798-3376

Reviews and Comments

Physician Assistant Nurses in Massapequa, NY

Joshua Jennerjahn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 616 Broadway, Massapequa, NY 11758 Phone: 516-636-5021 Fax: 516-636-5023
Mr. Lawrence Waxman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5500 Merrick Rd, Massapequa, NY 11758 Phone: 516-795-3033
Jacqueline Marie Napolitano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Veterans Blvd Ste 1, Massapequa, NY 11758 Phone: 516-882-9600 Fax: 516-882-9605
Mrs. Amy L Roberts, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 627 Broadway, Suite 1, Massapequa, NY 11758 Phone: 516-308-4040 Fax: 516-804-6386
Mr. Matthew Joseph Valvo, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Harrison Ave, Massapequa, NY 11758 Phone: 516-359-4950
Katherine Ann Carroll, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 Hicksville Rd, Suite 2, Massapequa, NY 11758 Phone: 516-799-7500 Fax: 516-799-2075
Julia Kathryn Frangeskos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4150 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-231-6866

Mrs Stacy Lynn Entin, PHYSICIAN ASST - Medicare Physician Assistant in Massapequa, NY