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Megan Marie Lastella

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as MEGAN LASTELLA.

Based on the most recent information from CMS, provider Megan Marie Lastella is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1578349601
Provider Type
Individual
Full Name
Lastella, Megan Marie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/5/2023
Last Updated
9/5/2023

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

16 State St, Clark, NJ 07066-3121

(732) 713-1218

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Megan Marie Lastella

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rasile, Jacqueline Marie

Sher, Maykl

Scribani, Stephanie Nicole

Olinsky, Melanie

Liconti, Dorin

Becker, Jennifer Mary

Serino, Jessica

Mendoza, Patricia Ann

Marchese, Robert Vito

Sommers, Stephanie