CORINNE CRAIG PENA PA-C
NPI 1154720506
Physician Assistant in Farmingville, NY

Active since August 21, 2014PECOS EnrolledAccepts Medicare Assignment
2280 N OCEAN AVE, FARMINGVILLE, NY 11738(631) 698-7828(631) 698-3300 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2019, Mar 17, 2018, Feb 16, 2018 (3 updates tracked since 2018).

About Corinne Craig Pena Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORINNE CRAIG PENA PA-C (NPI 1154720506) is an individual physician assistant in Farmingville, New York, licensed in New York (017900) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154720506
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCORINNE CRAIG PENACredential: PA-C
Location Address2280 N OCEAN AVEFarmingville, NY 11738-2911
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 453-0435 · Fax (646) 846-3283
Fax(631) 698-3300
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2014
Enumeration DateAugust 21, 2014
Last NPPES UpdateDecember 6, 20193 updates tracked since enumeration
NPI 1154720506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 017900
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 017900 (NY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 017900 (NY)
2280 N OCEAN AVE, Farmingville, NY 11738

Secondary Practice Locations 2

Location 11300 Roanoke AveRiverhead, NY 11901-2031 · Phone (631) 548-6000
Location 241 N Country RdPort Jefferson, NY 11777-2160 · Phone (631) 928-8300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Corinne Craig Pena Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42432361
PECOS Enrollment IDI20141120001649
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11738 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2280 N OCEAN AVE
FARMINGVILLE, NY 11738
Pharmacist
2280 N OCEAN AVE
FARMINGVILLE, NY 11738
Pharmacist
2280 N OCEAN AVE
FARMINGVILLE, NY 11738
Nurse Practitioner (Family)
2280 N OCEAN AVE
FARMINGVILLE, NY 11738
Nurse Practitioner (Family)
2280 N OCEAN AVE, INSIDE KMART
FARMINGVILLE, NY 11738
Nurse Practitioner (Family)
2280 N OCEAN AVE, FARMINGVILLE KMART
FARMINGVILLE, NY 11738
Respiratory Therapist, Registered (General Care)
2280 N OCEAN AVE
FARMINGVILLE, NY 11738
Pharmacist
2280 N OCEAN AVE
FARMINGVILLE, NY 11738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154720506, enumerated as an "individual" on August 21, 2014.

The provider is located at 2280 N OCEAN AVE FARMINGVILLE, NY 11738 and the phone number is (631) 698-7828.

Physician Assistant with taxonomy code 363A00000X.

Corinne Pena is affiliated with: JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON.