Alicia Tamara Portuondo-smith, NURSE PRACTITIONER - Medicare Nurse Practitioner in Glen Head, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Glen Head
Alicia Tamara Portuondo-smith, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glen Head, New York. Her current practice location is 189 Wheatley Rd, Glen Head, New York. You can reach out to her office (for appointments etc.) via phone at (516) 686-4400.

Alicia Tamara Portuondo-smith is licensed to practice in New York (license number F402195-1) 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 1730400482.

Contact Information

Alicia Tamara Portuondo-smith, NURSE PRACTITIONER
189 Wheatley Rd,
Glen Head, NY 11545-2641
(516) 686-4400
Not Available

Map and Direction




Provider's Profile

Full NameAlicia Tamara Portuondo-smith
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location189 Wheatley Rd, Glen Head, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730400482
  • Provider Enumeration Date: 06/17/2010
  • Last Update Date: 12/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3971865288
  • Enrollment ID: I20180327000824

Medical Identifiers

Medical identifiers for Alicia Tamara Portuondo-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730400482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 590004 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F402195-1 (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. Alicia Tamara Portuondo-smith allows following entities to bill medicare on her behalf.
Entity NameAdvantage Care Diagnostic And Treatment Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073689600
PECOS PAC ID: 6800836255
Enrollment ID: O20050505000457

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. Alicia Tamara Portuondo-smith 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
Alicia Tamara Portuondo-smith, NURSE PRACTITIONER
189 Wheatley Rd,
Glen Head, NY 11545-2641

Ph: (516) 686-4400		Alicia Tamara Portuondo-smith, NURSE PRACTITIONER
189 Wheatley Rd,
Glen Head, NY 11545-2641

Ph: (516) 686-4400

Reviews and Comments


Nurse Practitioner Nurses in Glen Head, NY

Nancy H Larson, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545
Phone: 516-674-9144    
Larissa Gourdet, A.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545
Phone: 516-674-9144    
Mrs. Karen Stellato, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 333 Glen Head Rd, Glen Head, NY 11545
Phone: 516-609-3010    Fax: 516-609-3012
Sherry Xie,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545
Phone: 516-674-9144    
Cheryl Moeller, ANP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 144 Glen Head Rd, Glen Head, NY 11545
Phone: 516-801-1244    

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.