Gabrielle Marie Maresca, PA
Individual provider Active NPI Physician Assistant · Middleburgh, NY
NPI 1184467201 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1184467201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 109 Baker Ave
Middleburgh, NY 12122 - Phone
- (518) 827-7730
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Imogene Bassett Hospital
Practice addresses (Care Compare)
111 Barton Hill Rd
Schoharie, NY 12157-4806
Phone (518) 295-8521
136 Pkwy Dr
Cobleskill, NY 12043-5150
Phone (518) 234-2555
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
Hospital & facility affiliations
- HCR / HCR Home Care Chha (Oneonta)
- At Home Care Inc Chha
- Helios Care
- Cobleskill Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210000774 | NY | Practitioner - Physician Assistant | 8325574668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
109 Baker Ave
Middleburgh, NY 12122
Mailing address
109 Baker Avenue
Middleburgh, NY 12122
Phone (518) 827-7730
Other providers in Middleburgh, NY
- Sierra Diamond
- Lisa M Donnini
- Faith Fisk
- Caroline M Gomez-Di Cesare
- Aaron I Harrison
- Mary Imogene Bassett Hospital
- Aida Melendez
- Middleburgh Central School District
- Middleburgh Chiropractic PC
- Middleburgh Emergency Volunteer Ambulance Corps Inc
All providers in Middleburgh, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.