Jacquelyn Rizzo, is a medicare enrolled "Counselor - Mental Health" provider in New Windosr, New York. Her current practice location is
1124 Ny Route 94, Suite 201, New Windosr, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 787-1350.
Jacquelyn Rizzo is licensed to practice in New York (license number 007415-1) 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 1730628058.
Healthcare Provider's Profile
| Full Name | Jacquelyn Rizzo |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1124 Ny Route 94, New Windosr, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730628058
- Provider Enumeration Date: 02/20/2017
- Last Update Date: 04/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 6709321110
- Enrollment ID: I20240710001718
Medical Identifiers
Medical identifiers for Jacquelyn Rizzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730628058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 007415-1 (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. Jacquelyn Rizzo allows following entities to bill medicare on her behalf.
| Entity Name | West Bergen Mental Healthcare Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881755973
PECOS PAC ID: 0345131272
Enrollment ID: O20040322000939 |
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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. Jacquelyn Rizzo 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 |
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Jacquelyn Rizzo,
1124 Ny Route 94, Suite 201,
New Windsor, NY 12553
Ph: (845) 787-1350 | Jacquelyn Rizzo,
1124 Ny Route 94, Suite 201,
New Windosr, NY 12553
Ph: (845) 787-1350 |
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