Tracey Bennardo (NPI# 1194063594, PAC ID# 1254658503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194063594 |
| PAC ID by PECOS | 1254658503 |
| Professional Enrollment ID | I20150325000675 |
| Full Name | Tracey Bennardo |
| Organization Legal Name | SAMARITAN MEDICAL SERVICES PC |
| Address |
1000 Montauk Hwy West Islip NY 11795-4927 |
| Phone Number | 5167052689 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012016009 |
| Number of Group Practice Members | 238 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Montauk Hwy, West Islip, NY 11795-4927 | 5167052689 | SAMARITAN MEDICAL SERVICES PC |
| Organization Legal Name | SAMARITAN MEDICAL SERVICES PC |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Teresa Gardella | Nurse Practitioner | Samaritan Medical Services PC | 50 Route 25a, Smithtown, NY 11787-1348 |
| Patrick J Brennan | Physician Assistant | Samaritan Medical Services PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Joan White | Physician Assistant | Samaritan Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Marylou Hernandez | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Evelyn Morales | Physician Assistant | Samaritan Medical Services PC | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Deandra Renee Sutherland | Nurse Practitioner | Samaritan Medical Services PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Lisa Danielle Abraham | Physician Assistant | Samaritan Medical Services PC | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 |
| Kimberly Sanford | Physician Assistant | Samaritan Medical Services PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Garrett S Chan | Physician Assistant | Samaritan Medical Services PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Thomas Michael Schneider | Nurse Practitioner | Samaritan Medical Services PC | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Street Address |
1000 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip | 11795-4927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cordelia Sharma | Internal Medicine | Good Samaritan Hospital Medical Center | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Terence J Omalley | Anesthesiology | Long Island Anesthesiologists, Pllc | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Doris Naomi Tamai | Anesthesiology | Long Island Anesthesiologists, Pllc | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Stephen I Littman | Cardiovascular Disease (cardiology) | Cardiac Ekg Interpretation, P. C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Abhinav Nafday | Emergency Medicine | Samaritan Emergency Medical Services PC | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Liborio C Musacchia | Anesthesiology | Long Island Anesthesiologists, Pllc | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Omar Syed Ahmad | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Tracey John | Physician Assistant | Samaritan Medical Services PC | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Anthony Garafalo | Cardiovascular Disease (cardiology) | Cardiac Ekg Interpretation, P. C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Mark J Goldman | Cardiovascular Disease (cardiology) | Cardiac Ekg Interpretation, P. C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Mccarthy | Physical Therapy | Island Shore Physical Therapy, LLP | 250 Higbie Lane, West Islip, NY 11795 |
| Hassan Hito | Internal Medicine | 1111 Mantauk Hwy, 3rd Floor, West Islip, NY 11795 | |
| Anna G Gorski-piaszczyk | Internal Medicine | 510 Montauk Hwy-ste D, West Islip, NY 11795 | |
| Edward H Weir | Chiropractic | 270 W 4th St, West Islip, NY 11795-1832 | |
| Justin A Minerva | Physical Therapy | 280 Higbie Ln, West Islip, NY 11795-2822 | |
| Ralph M Turri | Podiatry | West Islip Foot Care PC | 212 Higbie Ln, Suite 2, West Islip, NY 11795-2833 |
| Nicolle D Alvarez | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| Charlene Persaud | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| John W Hsu | General Surgery | Great South Bay Surgical Associates and Vascular Lab, LLP | 580 Union Blvd, West Islip, NY 11795-3105 |
| Thomas J Harrison | Nurse Practitioner | St Francis Hospital | 540 Union Blvd, West Islip, NY 11795-3105 |
| Find all physicians in zip 11795 | |||
| City | WEST ISLIP |
| Zip Code | 11795 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST ISLIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracey Bennardo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.