The Medical Station Of North Shore Pc is a medicare enrolled primary clinic (Family Medicine) in Locust Valley, New York. The current practice location for The Medical Station Of North Shore Pc is 480 Forest Ave, Locust Valley, New York. For appointments, you can reach them via phone at
(516) 759-5406. The mailing address for The Medical Station Of North Shore Pc is 480 Forest Ave, Locust Valley, New York and phone number is (516) 759-5406.
The Medical Station Of North Shore Pc is licensed to practice in New York (license number 243930). The clinic also participates in the medicare program and its
NPI number is 1255840807. 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
(516) 759-5406.
Primary Care Clinic Profile
| Full Name | The Medical Station Of North Shore Pc |
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| Speciality | Family Medicine |
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| Location | 480 Forest Ave, Locust Valley, New York |
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| Authorized Official Name and Position | Debbie Feliciano (OWNER) |
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| Authorized Official Contact | 5167595406 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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The Medical Station Of North Shore Pc
480 Forest Ave
Locust Valley
NY 11560-2151
Ph: (516) 759-5406 | The Medical Station Of North Shore Pc
480 Forest Ave
Locust Valley
NY 11560
Ph: (516) 759-5406 |
NPI Details:
| NPI Number | 1255840807 |
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| Provider Enumeration Date | 09/27/2017 |
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| Last Update Date | 07/21/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4880956598 |
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| Medicare Enrollment ID | O20180316001135 |
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Medical Identifiers
Medical identifiers for The Medical Station Of North Shore Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255840807 | NPI | - | NPPES |
| 5395P1 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 243930 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
The Medical Station Of North Shore Pc acts as a billing entity for following providers:
| Provider Name | Debbie Feliciano |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1710064761
PECOS PAC ID: 3870594823
Enrollment ID: I20080501000407 |
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