Dr Jillian Rose Donnelly, DO is a medicare enrolled "Urology" physician in Ardsley, New York. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Urology. She is a member of the group practice Montefiore Medical Center and her current practice location is
1 Mill River Ln Apt 105, Ardsley, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 879-9889.
Dr Jillian Rose Donnelly is licensed to practice in New York (license number 300483) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1881030245.
Physician's Profile
| Full Name | Dr Jillian Rose Donnelly |
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| Gender | Female |
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| Speciality | Urology |
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| Experience | 11 Years |
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| Location | 1 Mill River Ln Apt 105, Ardsley, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jillian Rose Donnelly graduated from medical school in 2013
NPI Data:
- NPI Number: 1881030245
- Provider Enumeration Date: 05/13/2013
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092011452
- Enrollment ID: I20200909002221
Medical Identifiers
Medical identifiers for Dr Jillian Rose Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881030245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | DR.0061017 (Colorado) | Secondary |
| 208800000X | Urology | 300483 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Montefiore Medical Center | 3779496021 | 2071 |
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 Jillian Rose Donnelly allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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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. Dr Jillian Rose Donnelly 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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Dr Jillian Rose Donnelly, DO
Po Box 911057,
Denver, CO 80291-1057
Ph: (888) 269-7001 | Dr Jillian Rose Donnelly, DO
1 Mill River Ln Apt 105,
Ardsley, NY 10502
Ph: (914) 879-9889 |
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