COREY DALLAS PREZZANO PA-C
NPI 1952181315
Physician Assistant in Bay Shore, NY

Q: What is Corey Prezzano's NPI number?

The NPI number for Corey Prezzano is 1952181315. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Q: What is Corey Prezzano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Corey Prezzano was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment

301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 18, 2023, Oct 3, 2023 (2 updates tracked since 2023).

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About Corey Dallas Prezzano Pa-c NPPES

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

COREY DALLAS PREZZANO PA-C (NPI 1952181315) is an individual physician assistant in Bay Shore, New York, licensed in New York (030721) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952181315

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCOREY DALLAS PREZZANOCredential: PA-C

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address325 Lake Ave Unit 2159Saint James, NY 11780-5030 · (631) 487-7986

Phone(631) 968-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 3, 2023

Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1952181315 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 · 030721

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.

301 E MAIN ST, Bay Shore, NY 11706

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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

Corey Dallas Prezzano 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 ID8820449119

PECOS Enrollment IDI20240111001149

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

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 11706 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.

DR. EHAB SABRY HANNA M.D.

Hospitalist