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MRS. STACY LYNN ENTIN PHYSICIAN ASST.
NPI 1851459820
Physician Assistant in Massapequa, NY

Active since December 04, 2006PECOS Enrolled
79 GRAND AVE, MASSAPEQUA, NY 11758(516) 798-3376(516) 798-5882 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacy Lynn Entin Physician Asst. NPPES

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

MRS. STACY LYNN ENTIN PHYSICIAN ASST. (NPI 1851459820) is an individual physician assistant in Massapequa, New York, licensed in New York (009989-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851459820
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. STACY LYNN ENTINCredential: PHYSICIAN ASST.
Location Address79 GRAND AVEMassapequa, NY 11758
Mailing Address203 Candee AveSayville, NY 11782-3059 · (631) 750-5575
Phone(516) 798-3376
Fax(516) 798-5882
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateOctober 16, 2015
✔ NPI 1851459820 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
License✔ Licensed in NY · 009989-1
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 ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 009989-01 (NY)
79 GRAND AVE, Massapequa, NY 11758
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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 (PECOS)

Mrs. Stacy Lynn Entin Physician Asst. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11758 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 4

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

ELENA T SANCHEZ L.M.F.T.
Marriage & Family Therapist
79 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 798-3376
DR. IRWIN GOLDSTEIN M.D.
Obstetrics & Gynecology
79 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 798-3376
MS. DIANE B. LUCKS MIDWIFE
Advanced Practice Midwife
79 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 798-3376
SUSAN REBECCA MITCHELL P.A.
Physician Assistant (Medical)
79 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 798-3376

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 Stacy Entin's NPI number?

The NPI number for Stacy Entin is 1851459820. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Stacy Entin located?

Stacy Entin practices at 79 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 798-3376.

What is Stacy Entin's specialty?

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

Is Stacy Entin enrolled in Medicare?

Yes. Stacy Entin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Entin was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.