Marisa Rose Doll, PA-C
Individual provider Active NPI Physician Assistant · Yaphank, NY
NPI 1831865534 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1831865534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5585 (SC)
- Practice address
- 527 Boulevard E
Yaphank, NY 11980-7512 - Phone
- (631) 504-0427
- NPI assigned
- Aug 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Urgent Care of South Carolina PC
Practice addresses (Care Compare)
1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609
3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, SC
- 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 |
|---|---|---|---|---|
| I20210928001199 | NY | Practitioner - Physician Assistant | 7719384189 | Reassigns benefits to 2 organizations |
| I20250310003645 | SC | Practitioner - Physician Assistant | 7719384189 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- mdoll831857@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 027122 | NY | |
| Physician Assistant | 363A00000X | 5585 | SC | Yes |
Addresses
Primary practice location
527 Boulevard E
Yaphank, NY 11980-7512
Mailing address
101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 745-2857
Other practice location 1
101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100
Other practice location 2
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Phone (864) 990-1910
Other names
- Marisa Balbo
Other providers in Yaphank, NY
- Karen Irene Devries
- Shreya Dhakal
- Cherylann Digiannurio
- Anna Lisa Dinkins
- Laura Lynn Dins
- Hannah Fava
- Heather Findletar Hines
- Alyssa Fiorelli
- Casey Patricia Fox
- June H Friedman
All providers in Yaphank, 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 Feb 10, 2025. 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.