Stephanie K West, FNP | |
7905 Main Rd, Mattituck, NY 11952-1693 | |
(631) 298-2030 | |
Not Available |
Full Name | Stephanie K West |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7905 Main Rd, Mattituck, 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 |
---|---|---|---|
1073247037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350170 (New York) | Primary |
363LF0000X | Nurse Practitioner - Family | 2021184488 (New York) | Secondary |
Entity Name | Peconic Bay Primary Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
Mailing Address | Practice Location Address |
---|---|
Stephanie K West, FNP 170 Grant Dr, Riverhead, NY 11901-1978 Ph: () - | Stephanie K West, FNP 7905 Main Rd, Mattituck, NY 11952-1693 Ph: (631) 298-2030 |
Mr. Douglas Owen Massey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14065 Main Rd, Mattituck, NY 11952 Phone: 631-526-8223 | |
Carol Ann Payton, PMH-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11700 Main Rd, Mattituck, NY 11952 Phone: 631-624-7839 | |
Valerie Silverman Harmon, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7555 Main Road, Mattituck, NY 11952 Phone: 631-298-8642 Fax: 631-298-4869 | |
Amanda Rose Kozakiewicz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11700 Main Rd Ste 1, Mattituck, NY 11952 Phone: 631-624-7839 | |
Karen Malcomson, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7555 Main Road, Mattituck, NY 11952 Phone: 631-298-8642 Fax: 631-298-4869 |