Stacey Italiano, PT - Medicare Physical Therapist in Lake Grove, NY

Stacey Italiano, PT is a medicare enrolled "Physical Therapist" provider in Lake Grove, New York. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Metro Physical Occupational And Speech Therapy Pllc and her current practice location is 1 Glen Way, Lake Grove, New York. You can reach out to her office (for appointments etc.) via phone at (613) 521-5137.

Stacey Italiano is licensed to practice in New York (license number 047174) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386217065.

Contact Information

Stacey Italiano, PT
1 Glen Way,
Lake Grove, NY 11755-2203
(613) 521-5137
Not Available



Healthcare Provider's Profile

Full NameStacey Italiano
GenderFemale
SpecialityPhysical Therapy
Experience16 Years
Location1 Glen Way, Lake Grove, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Italiano graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1386217065
  • Provider Enumeration Date: 07/21/2021
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416350467
  • Enrollment ID: I20210728001516

Medical Identifiers

Medical identifiers for Stacey Italiano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386217065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 047174 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metro Physical Occupational And Speech Therapy Pllc1254553639323

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Italiano allows following entities to bill medicare on her behalf.
Provider NameSherrie Glasser Physical Therapist Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1912099540
PECOS PAC ID: 0648169276
Enrollment ID: O20090601000014

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Provider NameMetro Physical Occupational And Speech Therapy Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1356742365
PECOS PAC ID: 1254553639
Enrollment ID: O20141120000039

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Italiano is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Italiano, PT
1 Glen Way,
Lake Grove, NY 11755-2203

Ph: (613) 521-5137
Stacey Italiano, PT
1 Glen Way,
Lake Grove, NY 11755-2203

Ph: (613) 521-5137

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Physical Therapist in Lake Grove, NY

Dr. Jacques S. J. Blanchard, D.P.T.,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8 Oakwood Ct, Lake Grove, NY 11755
Phone: 917-213-8548    Fax: 631-648-0404
Mr. Christopher Kevin Carden, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12 Saint Nicholas Ave, Lake Grove, NY 11755
Phone: 631-738-9018    
Christopher Conrad, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2848 Middle Country Road, Lake Grove, NY 11755
Phone: 631-780-5550    
Robert Steven Henning, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2848 Middle Country Rd, Lake Grove, NY 11755
Phone: 631-780-5550    Fax: 631-285-2124
Mrs. Dawn P Brauer, M.S.P.T., C.I.M.I.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Briarberry Ct, Lake Grove, NY 11755
Phone: 631-431-6824    Fax: 631-580-5378
Mr. Allan Z Raymundo,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Lake Ln, Lake Grove, NY 11755
Phone: 163-142-8705    

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