Nicole Gabrielle Balzafiore, in Central Islip, NY - Medicare Social Worker Provider

Nicole Gabrielle Balzafiore, is a medicare enrolled "Social Worker - Clinical" provider in Central Islip, New York. Her current practice location is 159 Carleton Ave, Central Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 650-2510.

Nicole Gabrielle Balzafiore is licensed to practice in New York (license number 091163) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568040319.

Contact Information

	Nicole Gabrielle Balzafiore,
	159 Carleton Ave, Central Islip, NY 11722-4172
	(631) 650-2510
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Gabrielle Balzafiore
Gender	Female
Speciality	Social Worker - Clinical
Location	159 Carleton Ave, Central Islip, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568040319
Provider Enumeration Date: 04/01/2021
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6608276779
Enrollment ID: I20210610001740

Medical Identifiers

Medical identifiers for Nicole Gabrielle Balzafiore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568040319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	091163 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Gabrielle Balzafiore allows following entities to bill medicare on her behalf.

Entity Name	Long Island Select Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Gabrielle Balzafiore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Gabrielle Balzafiore, 100 Port Washington Blvd Ste G02, Roslyn, NY 11576-1347 Ph: () -	Nicole Gabrielle Balzafiore, 159 Carleton Ave, Central Islip, NY 11722-4172 Ph: (631) 650-2510

Reviews and Comments

Social Worker in Central Islip, NY

Ms. Lois Johnson Logan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Fairlawn Dr, Central Islip, NY 11722 Phone: 631-348-7945
Mayra Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Carleton Ave, Central Islip, NY 11722 Phone: 631-663-4324
Mr. David Angus Munro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-0236 Fax: 631-234-0286
Ms. Marilyn C Solano-foster, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-7807
Mrs. Kelly Gildea, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Carleton Ave, Central Islip, NY 11722 Phone: 631-617-5300
Mrs. Crystal Lee Garcia, LMSW/MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-7807

Nicole Gabrielle Balzafiore, - Medicare Clinical Social Worker in Central Islip, NY