MS. JEAN WANAMAKER PA
NPI 1972521094
Physician Assistant in Bay Shore, NY

Q: What is Jean Wanamaker's NPI number?

The NPI number for Jean Wanamaker is 1972521094. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Jean Wanamaker'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 Jean Wanamaker was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2006PECOS Enrolled

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

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Jean Wanamaker Pa NPPES

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

MS. JEAN WANAMAKER PA (NPI 1972521094) is an individual physician assistant in Bay Shore, New York, licensed in New York (008922) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972521094

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JEAN WANAMAKERCredential: PA

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3000

Phone(631) 968-3000

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1972521094 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 · 008922

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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Other Identifiers 2

Medicare PIN6745L1NY

Medicare UPINQ73401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jean Wanamaker Pa 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 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.