Michelle Marilyn Craddock, ANP - Medicare Nurse Practitioner in Port Jefferson, NY

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Michelle Marilyn Craddock, ANP is a medicare enrolled "Family Medicine" physician in Port Jefferson, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 642-0609.

Michelle Marilyn Craddock is licensed to practice in New York (license number F3325721) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013182112.

Contact Information

Michelle Marilyn Craddock, ANP
625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc,
Port Jefferson, NY 11777
(631) 642-0609
(631) 642-0588

Map and Direction




Physician's Profile

Full NameMichelle Marilyn Craddock
GenderFemale
SpecialityNurse Practitioner
Experience28 Years
Location625 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Marilyn Craddock attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1013182112
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 04/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0547582835
  • Enrollment ID: I20171020002696

Medical Identifiers

Medical identifiers for Michelle Marilyn Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013182112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F3325721 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peconic Bay Homehealth ServicesRiverhead, NYHome health agency
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital
Suny/stony Brook University HospitalStony brook, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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. Michelle Marilyn Craddock allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Michelle Marilyn Craddock 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
Michelle Marilyn Craddock, ANP
625 Belle Terre Rd, Suite 119 Port Jefferson Med Assoc,
Port Jefferson, NY 11777

Ph: (631) 642-0609		Michelle Marilyn Craddock, ANP
625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc,
Port Jefferson, NY 11777

Ph: (631) 642-0609

Reviews and Comments


Family Medicine Doctors in Port Jefferson, NY

Dr. Erika M Jurasits, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 170 N Country Rd Ste 2, Port Jefferson, NY 11777
Phone: 631-509-6888    Fax: 631-509-6895
Dr. Francis M. Francin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 680 Main St, Suite2, Port Jefferson, NY 11777
Phone: 631-474-8626    Fax: 531-474-8626
Dr. Rhonda S Burmeister, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588
Dr. Jessica Lynn Blydenburgh, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Oakland Ave, Port Jefferson, NY 11777
Phone: 631-736-1311    Fax: 631-736-1312
Dr. Lewis Lee Bateman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 125 Oakland Ave Suite 205, Mather Primary Care, Port Jefferson, NY 11777
Phone: 631-686-2523    Fax: 631-686-2525
Dr. James Thomas Kelly, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 70 N Country Rd, Suite 105, Port Jefferson, NY 11777
Phone: 631-642-0609    Fax: 631-642-0588

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.