Reanell Gasaway, PA is a medicare enrolled "Physician Assistant" in Roosevelt, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Samaritan Medical Services Pc and her current practice location is
71 Delisle Ave, Roosevelt, New York. You can reach out to her office (for appointments etc.) via phone at
(909) 648-5023.
Reanell Gasaway is licensed to practice in New York (license number 015415) 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 1073899225.
Provider's Profile
Full Name | Reanell Gasaway |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 13 Years |
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Location | 71 Delisle Ave, Roosevelt, 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. |
Medical Education and Training:
- Reanell Gasaway graduated from nursing school in 2011
NPI Data:
- NPI Number: 1073899225
- Provider Enumeration Date: 11/01/2011
- Last Update Date: 01/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 9133370109
- Enrollment ID: I20121126000007
Medical Identifiers
Medical identifiers for Reanell Gasaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073899225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 015415 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Samaritan Medical Services Pc | 7012016009 | 282 |
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. Reanell Gasaway 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 |
Reanell Gasaway, PA 71 Delisle Ave, Roosevelt, NY 11575-2442 Ph: (909) 648-5023 | Reanell Gasaway, PA 71 Delisle Ave, Roosevelt, NY 11575-2442 Ph: (909) 648-5023 |
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