Mrs Marie D'kharelde Dornevil, NP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Malverne, New York. Her current practice location is
279 Morris Ave, Malverne, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 535-2802.
Mrs Marie D'kharelde Dornevil is licensed to practice in New York (license number F404425-01) 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 1326380825.
Physician's Profile
| Full Name | Mrs Marie D'kharelde Dornevil |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 279 Morris Ave, Malverne, 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: 1326380825
- Provider Enumeration Date: 03/22/2013
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254563646
- Enrollment ID: I20230508002823
Medical Identifiers
Medical identifiers for Mrs Marie D'kharelde Dornevil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326380825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | F4306891 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F404425-01 (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. Mrs Marie D'kharelde Dornevil allows following entities to bill medicare on her behalf.
| Entity Name | Medical Care For You Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659906667
PECOS PAC ID: 6800207879
Enrollment ID: O20201123002219 |
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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. Mrs Marie D'kharelde Dornevil 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 Marie D'kharelde Dornevil, NP
279 Morris Ave,
Malverne, NY 11565-1214
Ph: (347) 535-2802 | Mrs Marie D'kharelde Dornevil, NP
279 Morris Ave,
Malverne, NY 11565-1214
Ph: (347) 535-2802 |
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