MARY ASHLEY MANETTA PHYSICIAN ASSISTANT
NPI 1720837834
Physician Assistant in Patchogue, NY

Q: What is Mary Ashley Manetta's NPI number?

The NPI number for Mary Ashley Manetta is 1720837834. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Mary Ashley Manetta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment

101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary Ashley Manetta Physician Assistant NPPES

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

MARY ASHLEY MANETTA PHYSICIAN ASSISTANT (NPI 1720837834) is an individual physician assistant in Patchogue, New York, licensed in New York (1220880) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720837834

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY ASHLEY MANETTACredential: PHYSICIAN ASSISTANT

Location Address101 HOSPITAL RDPatchogue, NY 11772-4870

Mailing Address35 E Half Hollow RdDix Hills, NY 11746-6325 · (516) 881-6295

Phone(631) 654-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 13, 2024

Last NPPES UpdateMay 16, 2024

NPPES CertifiedMay 16, 2024

✔ NPI 1720837834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 1220880

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.

101 HOSPITAL RD, Patchogue, NY 11772

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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

Mary Ashley Manetta Physician Assistant 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 ID4688105216

PECOS Enrollment IDI20241007001095

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.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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 20

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

VAISHALI MEHTA MD

Internal Medicine (Critical Care Medicine)