Aaron Funtanilla, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Westampton, New Jersey. His current practice location is
770 Woodlane Rd, Westampton, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 267-5928.
Aaron Funtanilla is licensed to practice in New Jersey (license number 26NJ14842300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912644816.
Healthcare Provider's Profile
Full Name | Aaron Funtanilla |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 770 Woodlane Rd, Westampton, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912644816
- Provider Enumeration Date: 05/13/2022
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305292558
- Enrollment ID: I20231025001259
Medical Identifiers
Medical identifiers for Aaron Funtanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912644816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ14842300 (New Jersey) | 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. Aaron Funtanilla allows following entities to bill medicare on his behalf.
Entity Name | Oaks Integrated Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255427647 PECOS PAC ID: 6709961857 Enrollment ID: O20080313000127 |
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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. Aaron Funtanilla 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 |
Aaron Funtanilla, 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 | Aaron Funtanilla, 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 |
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