Sarah Desiree Kennedy-etheridge, PA-C - Medicare Physician Assistant in Roslyn Heights, NY

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Sarah Desiree Kennedy-etheridge, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Roslyn Heights, New York. Her current practice location is 125 Mineola Ave Ste 200, Roslyn Heights, New York. You can reach out to her office (for appointments etc.) via phone at (516) 616-5500.

Sarah Desiree Kennedy-etheridge is licensed to practice in New York (license number 024094) 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 1174165484.

Contact Information

Sarah Desiree Kennedy-etheridge, PA-C
125 Mineola Ave Ste 200,
Roslyn Heights, NY 11577-2042
(516) 616-5500
Not Available

Map and Direction




Provider's Profile

Full NameSarah Desiree Kennedy-etheridge
GenderFemale
SpecialityPhysician Assistant - Surgical
Location125 Mineola Ave Ste 200, Roslyn Heights, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174165484
  • Provider Enumeration Date: 10/09/2019
  • Last Update Date: 10/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406288448
  • Enrollment ID: I20191113002650

Medical Identifiers

Medical identifiers for Sarah Desiree Kennedy-etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174165484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 024094 (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. Sarah Desiree Kennedy-etheridge 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 AddressPractice Location Address
Sarah Desiree Kennedy-etheridge, PA-C
125 Mineola Ave Ste 200,
Roslyn Heights, NY 11577-2042

Ph: (516) 616-5500		Sarah Desiree Kennedy-etheridge, PA-C
125 Mineola Ave Ste 200,
Roslyn Heights, NY 11577-2042

Ph: (516) 616-5500

Reviews and Comments


Physician Assistant Nurses in Roslyn Heights, NY

Eden Bessaleli, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577
Phone: 800-633-8446    
Pamela Cornacchia, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2 Locust Ln, Roslyn Heights, NY 11577
Phone: 516-457-0783    
Ms. Dana Jacqueline Chan, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 125 Mineola Ave, Roslyn Heights, NY 11577
Phone: 516-616-5500    
Kelly R Emmert, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 Mineola Ave, Suite 200, Roslyn Heights, NY 11577
Phone: 516-616-5500    Fax: 888-502-6585
Jennifer Kaylin Puciloski, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 125 Mineola Avenue, Suite 200, Roslyn Heights, NY 11577
Phone: 516-616-5500    
Emily L Capoccia, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 125 Mineola Ave, Roslyn Heights, NY 11577
Phone: 800-633-8446    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.