Dr Jennifer Marie Pumarejo, DMD - Medicare Dentist in Staten Island, NY

Dr Jennifer Marie Pumarejo, DMD is a medicare enrolled "Dentist" provider in Staten Island, New York. Her current practice location is 4546 Hylan Blvd, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 948-5111.

Dr Jennifer Marie Pumarejo is licensed to practice in New York (license number 056307) 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 1679860555.

Contact Information

Dr Jennifer Marie Pumarejo, DMD
4546 Hylan Blvd,
Staten Island, NY 10312-6403
(718) 948-5111
(718) 948-1932

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer Marie Pumarejo
GenderFemale
SpecialityDentist
Location4546 Hylan Blvd, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679860555
  • Provider Enumeration Date: 06/29/2011
  • Last Update Date: 09/20/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8325320039
  • Enrollment ID: I20170112001882

Medical Identifiers

Medical identifiers for Dr Jennifer Marie Pumarejo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679860555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 056307 (New York)Primary
122300000XDentist 22DI02502000 (New Jersey)Secondary

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. Dr Jennifer Marie Pumarejo allows following entities to bill medicare on her behalf.
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660

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. Dr Jennifer Marie Pumarejo 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 AddressPractice Location Address
Dr Jennifer Marie Pumarejo, DMD
4546 Hylan Blvd,
Staten Island, NY 10312-6403

Ph: (718) 948-5111
Dr Jennifer Marie Pumarejo, DMD
4546 Hylan Blvd,
Staten Island, NY 10312-6403

Ph: (718) 948-5111

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.