Stefanie Ammiano, RN, LMHC, CASAC is a medicare enrolled "Nurse Practitioner - Adult Health" provider in New York, New York. Her current practice location is
31 Washington Sq W, Floor 4, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(908) 578-9751.
Stefanie Ammiano is licensed to practice in New York (license number F308102) 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 1538451844.
Healthcare Provider's Profile
Full Name | Stefanie Ammiano |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 31 Washington Sq W, New York, 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. |
NPI Data:
- NPI Number: 1538451844
- Provider Enumeration Date: 05/04/2011
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668710013
- Enrollment ID: I20190211002790
Medical Identifiers
Medical identifiers for Stefanie Ammiano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538451844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 27318 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 005140 (New York) | Secondary |
163W00000X | Registered Nurse | 704575 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | F308102 (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. Stefanie Ammiano allows following entities to bill medicare on her behalf.
Entity Name | Village Park Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902961097 PECOS PAC ID: 4688563943 Enrollment ID: O20040313000619 |
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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. Stefanie Ammiano 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 |
Stefanie Ammiano, RN, LMHC, CASAC 31 Washington Sq W Fl 4, New York, NY 10011-9172 Ph: (212) 475-8833 | Stefanie Ammiano, RN, LMHC, CASAC 31 Washington Sq W, Floor 4, New York, NY 10011-9126 Ph: (908) 578-9751 |
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