Mrs Jackeline Bobadilla, PA-C in Staten Island, NY

Mrs Jackeline Bobadilla, PA-C is a medicare enrolled "Pediatrics" physician in Staten Island, New York. Her current practice location is 57 Bay St Fl 1, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (844) 400-1975.

Mrs Jackeline Bobadilla is licensed to practice in New York (license number 020736) 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 1306373642.

Contact Information

	Mrs Jackeline Bobadilla, PA-C
	57 Bay St Fl 1, Staten Island, NY 10301-2510
	(844) 400-1975
	(845) 765-9324

Map and Direction

Physician's Profile

Full Name	Mrs Jackeline Bobadilla
Gender	Female
Speciality	Pediatrics
Location	57 Bay St Fl 1, Staten Island, 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: 1306373642
Provider Enumeration Date: 05/17/2017
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9436565850
Enrollment ID: I20210310001355

Medical Identifiers

Medical identifiers for Mrs Jackeline Bobadilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306373642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	020736 (New York)	Primary

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. Mrs Jackeline Bobadilla 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
Mrs Jackeline Bobadilla, PA-C 57 Bay St Fl 1, Staten Island, NY 10301-2510 Ph: (845) 654-4881	Mrs Jackeline Bobadilla, PA-C 57 Bay St Fl 1, Staten Island, NY 10301-2510 Ph: (844) 400-1975

Reviews and Comments

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Mrs Jackeline Bobadilla, PA-C - Medicare Pediatrics in Staten Island, NY