Island Internist Pc - Medicare Primary Care in Staten Island, NY

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Island Internist Pc is a medicare enrolled primary clinic (General Practice) in Staten Island, New York. The current practice location for Island Internist Pc is 420 Lyndale Ave, Staten Island, New York. For appointments, you can reach them via phone at (718) 967-5630. The mailing address for Island Internist Pc is 420 Lyndale Ave, Staten Island, New York and phone number is (718) 967-1700.

Island Internist Pc is licensed to practice in New York (license number 234387). The clinic also participates in the medicare program and its NPI number is 1073669479. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 967-5630.

Contact Information

Island Internist Pc
420 Lyndale Ave
Staten Island
NY 10312-6131
(718) 967-5630
(718) 967-7099

Map and Direction


Primary Care Clinic Profile

Full NameIsland Internist Pc
SpecialityGeneral Practice
Location420 Lyndale Ave, Staten Island, New York
Authorized Official Name and PositionDonna Seminara (OWNER)
Authorized Official Contact7189671700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Island Internist Pc
420 Lyndale Ave
Staten Island
NY 10312-6131

Ph: (718) 967-1700		Island Internist Pc
420 Lyndale Ave
Staten Island
NY 10312-6131

Ph: (718) 967-5630

NPI Details:

NPI Number1073669479
Provider Enumeration Date01/26/2007
Last Update Date05/27/2010

Medicare PECOS Information:

Medicare PECOS PAC ID8628097532
Medicare Enrollment IDO20051119000014

Medical Identifiers

Medical identifiers for Island Internist Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073669479NPI-NPPES
1124001599OtherNYNPI #
1336194281OtherNYNPI #
1376580662OtherNYNPI #
1861448896OtherNYNPI#
1750476289OtherNYNPI#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 179723 (New York)Secondary
208D00000XGeneral Practice 234387 (New York)Primary
208D00000XGeneral Practice 22415 (New York)Secondary
208D00000XGeneral Practice 171607 (New York)Secondary
208D00000XGeneral Practice 234484 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Island Internist Pc acts as a billing entity for following providers:
Provider NameDonna P Seminara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376580662
PECOS PAC ID: 7012998446
Enrollment ID: I20040601000200
Provider NameLarisa Malisova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861448896
PECOS PAC ID: 4284637182
Enrollment ID: I20060815000188
Provider NameJohn Maese
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750476289
PECOS PAC ID: 2365591401
Enrollment ID: I20090521000071

Reviews and Comments


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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.