Mrs Tara Marie Lewis, NP | |
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | |
(631) 474-6000 | |
Not Available |
Full Name | Mrs Tara Marie Lewis |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 200 Belle Terre Rd, Port Jefferson, 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 |
---|---|---|---|
1427107531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F381695 (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 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Mrs Tara Marie Lewis, NP 6 Winding Wood Ct, Mount Sinai, NY 11766-3319 Ph: (631) 331-3652 | Mrs Tara Marie Lewis, NP 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6000 |
Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999 | |
Katlyn Ann Conville, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2565 | |
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462 | |
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786 | |
Ms. Christine Julia Mckeon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777 Phone: 631-473-3877 | |
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586 | |
Genine Schwinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653 |