Nicole Rose Marino, PA-C is a medicare enrolled "Physician Assistant" in Hollis Hills, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
7943 211th St, Hollis Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 530-1480.
Nicole Rose Marino is licensed to practice in New York (license number 20058) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467904508.
Provider's Profile
| Full Name | Nicole Rose Marino |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 7943 211th St, Hollis Hills, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Rose Marino graduated from nursing school in 2016
NPI Data:
- NPI Number: 1467904508
- Provider Enumeration Date: 10/25/2016
- Last Update Date: 10/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 6002193752
- Enrollment ID: I20170505000409
Medical Identifiers
Medical identifiers for Nicole Rose Marino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467904508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 20058 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | 20058 (New York) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 20058 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Nicole Rose Marino 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 |
|---|
Nicole Rose Marino, PA-C
7943 211th St,
Hollis Hills, NY 11364-3225
Ph: (646) 530-1480 | Nicole Rose Marino, PA-C
7943 211th St,
Hollis Hills, NY 11364-3225
Ph: (646) 530-1480 |
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