Danielle Rose Diberardino, is a medicare enrolled "Nurse Practitioner - Family" physician in New Hyde Park, New York. Her current practice location is
27005 76th Ave, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 470-7000.
Danielle Rose Diberardino is licensed to practice in New York (license number 350159) 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 1518685122.
Physician's Profile
| Full Name | Danielle Rose Diberardino |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 27005 76th Ave, New Hyde Park, 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: 1518685122
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385017441
- Enrollment ID: I20230310001510
Medical Identifiers
Medical identifiers for Danielle Rose Diberardino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518685122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 350159 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 350159 (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. Danielle Rose Diberardino allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033791058
PECOS PAC ID: 5698175933
Enrollment ID: O20210608003649 |
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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. Danielle Rose Diberardino 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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Danielle Rose Diberardino,
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: () - | Danielle Rose Diberardino,
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: (718) 470-7000 |
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