Sam M Fassnacht (NPI# 1558670463, PAC ID# 6800109364) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558670463 |
| PAC ID by PECOS | 6800109364 |
| Professional Enrollment ID | I20150714000273 |
| Full Name | Sam M Fassnacht |
| Organization Legal Name | PATCHOGUE FAMILY MEDICAL CARE, PC |
| Address |
130 Medford Ave Patchogue NY 11772-1206 |
| Phone Number | 6314755734 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648160713 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 Medford Ave, Patchogue, NY 11772-1206 | 6314755734 | PATCHOGUE FAMILY MEDICAL CARE, PC |
| Organization Legal Name | PATCHOGUE FAMILY MEDICAL CARE, PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Street Address |
130 MEDFORD AVE |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-1206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Maria A Curcio | Registered Dietitian Or Nutrition Professional | Brookhaven Memorial Hospital Medical Center | 33 Medford Ave, East Patchogue, NY 11772-1222 |
| Andrew Scott Farrago | Chiropractic | 105 Medford Ave, Patchogue, NY 11772-1223 | |
| Colleen A Jackson | Registered Dietitian Or Nutrition Professional | Brookhaven Memorial Hospital Medical Center | 55 Medford Ave, Patchogue, NY 11772-1229 |
| Edward J Barnoski | Psychologist, Clinical | 77 Medford Ave D, Patchogue, NY 11772-1230 | |
| Elizabeth Quinlan | Clinical Social Worker | 124 Route 112, Suite C, Patchogue, NY 11772-1232 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PATCHOGUE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sam M Fassnacht.
| 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.