1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Physician Assistant
  6. NPI Profile

MS. DEANNA M KROLICK PAC
NPI 1639484207
Physician Assistant - Medical in Smithtown, NY

Active since August 08, 2010PECOS EnrolledAccepts Medicare Assignment
48 ROUTE 25A STE 301, SMITHTOWN, NY 11787(631) 862-3171(631) 862-3180 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2017, Apr 26, 2017 (2 updates tracked since 2017).

About Ms. Deanna M Krolick Pac NPPES

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

MS. DEANNA M KROLICK PAC (NPI 1639484207) is an individual medical provider in Smithtown, New York, licensed in New York (014133) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2010).

NPPES Registry Identity

NPI1639484207
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. DEANNA M KROLICKCredential: PAC
Location Address48 ROUTE 25A STE 301Smithtown, NY 11787-1454
Mailing Address48 Route 25a Ste 301Smithtown, NY 11787-1454 · (631) 862-3171 · Fax (631) 862-3180
Phone(631) 862-3171
Fax(631) 862-3180
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateAugust 8, 2010
Last NPPES UpdateNovember 17, 20172 updates tracked since enumeration
✔ NPI 1639484207 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 · 014133
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
48 ROUTE 25A STE 301, Smithtown, NY 11787
Open in Google Maps ↗

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. Deanna M Krolick Pac 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 ID5991087538
PECOS Enrollment IDI20170117000541
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
26 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

DR. JANA LORI DEITCH M.D.
Surgery (Surgical Oncology)
48 ROUTE 25A STE 301
SMITHTOWN, NY 11787
Suffolk County (631) 862-3171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Krolick's NPI number?

The NPI number for Deanna Krolick is 1639484207. It was assigned to this individual provider in the NPPES registry on August 8, 2010.

Where is Deanna Krolick located?

Deanna Krolick practices at 48 Route 25A Ste 301, Smithtown, NY 11787. The listed phone number is (631) 862-3171.

What is Deanna Krolick's specialty?

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

Is Deanna Krolick enrolled in Medicare?

Yes. Deanna Krolick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Deanna Krolick affiliated with any hospitals?

According to CMS data, Deanna Krolick is affiliated with John T Mather Memorial Hospital Of Port Jefferson, Good Samaritan Hospital Medical Center, Suny/Stony Brook University Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Deanna Krolick was last updated on November 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.