ANDREW PIETRIS PA-C - NPI 1235471616 - Physician Assistant in Fishkill, NY

Q: What is Andrew Pietris's NPI number?

The NPI number for Andrew Pietris is 1235471616. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Q: What is Andrew Pietris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pietris was last updated on August 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Andrew Pietris Pa-c NPPES

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

ANDREW PIETRIS PA-C (NPI 1235471616) is an individual medical provider in Fishkill, New York, licensed in New York (016817) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2013).

NPPES Registry Identity

NPI1235471616

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameANDREW PIETRISCredential: PA-C

Location Address60 MERRITT BLVD, SUITE 106Fishkill, NY 12524-2917

Mailing Address60 Merritt Blvd, Suite 106Fishkill, NY 12524-2917

Phone(845) 202-7182

Fax(845) 202-7185

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2013

Enumeration DateMarch 23, 2013

Last NPPES UpdateAugust 13, 2013

✔ NPI 1235471616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 016817

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

60 MERRITT BLVD, Fishkill, NY 12524

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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

Andrew Pietris 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 ID42454423

PECOS Enrollment IDI20130925000507

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.

Other Providers at the Same Location NPPES 8

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

SHANE MARTIN WIBLE MPAS, PA-C

Physician Assistant

60 MERRITT BLVD, SUITE 106
FISHKILL, NY 12524

Dutchess County (845) 905-5090

MELISSA ASHLEY MOUSTAKAS PA-C

Physician Assistant (Medical)