Shane Thomas Martensen
Shane Thomas Martensen is a Physician Assistant in East Islip, New York. Qualified in 2021, 5 years ago. Practices with St Francis Hospital, a 98-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
35 The MoorEast Islip, NY 11730-2922
Phone: (631) 383-2476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1336738913 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 18, 2021 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | 35 The Moor, East Islip, NY 11730-2922 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St Francis Hospital — 98 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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