Alexandria Mia Portilla, FNP in New York, NY

Alexandria Mia Portilla, FNP is a medicare enrolled "Family Medicine" physician in New York, New York. Her current practice location is 12 E 86th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 861-6660.

Alexandria Mia Portilla is licensed to practice in New York (license number F352697-01) 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 1861265548.

Contact Information

	Alexandria Mia Portilla, FNP
	12 E 86th St, New York, NY 10028-0506
	(212) 861-6660
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexandria Mia Portilla
Gender	Female
Speciality	Family Medicine
Location	12 E 86th St, New York, 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: 1861265548
Provider Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9335597889
Enrollment ID: I20231122001558

Medical Identifiers

Medical identifiers for Alexandria Mia Portilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861265548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	F352697-01 (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. Alexandria Mia Portilla allows following entities to bill medicare on her behalf.

Entity Name	North Shore Hematology Oncology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766

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. Alexandria Mia Portilla 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
Alexandria Mia Portilla, FNP 16509 Magolia Ct, Silver Spring, MD 20905 Ph: (305) 479-3928	Alexandria Mia Portilla, FNP 12 E 86th St, New York, NY 10028-0506 Ph: (212) 861-6660

Reviews and Comments

Family Medicine Doctors in New York, NY

Syra Hanif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 492 6th Ave, New York, NY 10011 Phone: 646-454-9000 Fax: 646-454-9047
Tahsin Kabir, Family Medicine Medicare: Medicare Enrolled Practice Location: 317 E 34th St, New York, NY 10016 Phone: 212-726-7400
Dr. Daria Ravangard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 52 W 8th St, New York, NY 10011 Phone: 212-466-4848 Fax: 212-466-4855
Dr. Sapna Chaudhary, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 245 5th Ave, 2nd Floor, New York, NY 10016 Phone: 646-935-2265 Fax: 646-935-2272
Vikrant Khanderia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 W 71st St, New York, NY 10023 Phone: 212-496-4600 Fax: 917-441-0195
Massiel Esther Crespo Fleury, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 160 W 26th St, New York, NY 10001 Phone: 212-924-2510
Sarah Phillips Saltzman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 230 W 17th St, New York, NY 10011 Phone: 212-206-5200

Alexandria Mia Portilla, FNP - Medicare Family Medicine in New York, NY