MS. COLLEEN PETRERE PA-C
NPI 1265164412
Physician Assistant in Manhasset, NY

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
600 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Colleen Petrere Pa-c NPPES

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

MS. COLLEEN PETRERE PA-C (NPI 1265164412) is an individual physician assistant in Manhasset, New York and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265164412
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. COLLEEN PETRERECredential: PA-C
Location Address600 COMMUNITY DRManhasset, NY 11030-3802
Mailing Address6871 Selfridge StForest Hills, NY 11375-5741 · (917) 717-1791
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1265164412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

600 COMMUNITY DR, Manhasset, NY 11030

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

Ms. Colleen Petrere 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 ID9133583602
PECOS Enrollment IDI20230918000286
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.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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 19

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

Internal Medicine (Geriatric Medicine)
600 COMMUNITY DR, SUITE 304
MANHASSET, NY 11030
Radiology (Diagnostic Radiology)
600 COMMUNITY DR, SUITE 304
MANHASSET, NY 11030
Internal Medicine
600 COMMUNITY DR
MANHASSET, NY 11030
Pediatrics
600 COMMUNITY DR
MANHASSET, NY 11030
Nurse Practitioner (Adult Health)
600 COMMUNITY DR, SUITE 304
MANHASSET, NY 11030
General Acute Care Hospital
600 COMMUNITY DR
MANHASSET, NY 11030
Nurse Practitioner (Adult Health)
600 COMMUNITY DR
MANHASSET, NY 11030
Clinical Nurse Specialist (Family Health)
600 COMMUNITY DR
MANHASSET, NY 11030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265164412, enumerated as an "individual" on June 27, 2022.

The provider is located at 600 COMMUNITY DR MANHASSET, NY 11030 and the phone number is (516) 562-0100.

Physician Assistant with taxonomy code 363A00000X.

Colleen Petrere is affiliated with: NS/LIJ HS SOUTHSIDE HOSPITAL.