Erica Tine-Rose Feola, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009893-1 Issued in NY

Practice address

830 Washington St
ER Department
Watertown, NY 13601-4034

Phone

(315) 786-4813

Fax

(315) 786-4314

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745

  NY

  Medicare reassignment
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  OH

  Medicare reassignment
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118

  IL

  Medicare reassignment
• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  IN

  Medicare reassignment
• Wellnow Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Watertown, NY
  • NPI 1366005399
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NY, OH, IL, IN4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2015.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1104809409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415695",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415695",
            "telephone_number": "866-952-6774",
            "fax_number": "781-276-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "address_2": "ER DEPARTMENT",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014034",
            "telephone_number": "315-786-4813",
            "fax_number": "315-786-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEOLA",
        "first_name": "ERICA",
        "middle_name": "TINE-ROSE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009893-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mary Favret, RPH
• Madeline B Felice
• Chelsea Felix, RN
• Michelle D Felton
• Roxann Fennell, PT
• Emily C Ferguson
• Flavia Fernandes Jung, M.D
• Stefanie Ferrell
• Cassandra Fichthorn
• Kathleen A Finnerty, RN

• All providers in Watertown, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.