Miranda N. Manquen, PA
NPI 1245803329ActiveIndividual· Physician Assistant· Bethpage, NY
Physician Assistant (PA) with Guthrie Medical Group PC, practicing in Bethpage, New York. 234 Medicare patients in 2024, $22,747 paid; nearly all of their 406 Part D prescriptions were generic (97%). Lists Our Lady of Lourdes Memorial Hospital, Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1245803329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 19, 2021 |
| Last updated in NPPES | Jul 19, 2021 |
| Certified by provider | Jul 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 026772 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 253 across 12 procedure codes |
| Paid by Medicare | $22,747 |
Part D prescriptions in 2024
| Prescriptions (claims) | 406 · 407 30-day fills |
|---|---|
| Patients | 302 |
| Total drug cost | $6,133 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Guthrie Medical Group PCSayre, PA · 795 clinicians
Hospital affiliations
- Our Lady of Lourdes Memorial Hospital, IncBinghamton, NY
- Robert Packer HospitalSayre, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Bethpage
- 1043230139
- 1053323840
- 1063997799
- 1285280214
- 1285497008
- 1396210092
- 1487968715
- 1538495205
- 1548633001
- 1831443332
- 1003262213
- 1477654861
All 31 physician assistants in Bethpage · All physician assistants in New York