Basirat Pelemo, FNP - Medicare Nurse Practitioner in Staten Island, NY

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Basirat Pelemo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 456 Van Duzer St Apt D3, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (347) 782-5104.

Basirat Pelemo is licensed to practice in New York (license number 641085) 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 1396378790.

Contact Information

Basirat Pelemo, FNP
456 Van Duzer St Apt D3,
Staten Island, NY 10304-2076
(347) 782-5104
Not Available

Map and Direction




Provider's Profile

Full NameBasirat Pelemo
GenderFemale
SpecialityNurse Practitioner - Family
Location456 Van Duzer St Apt D3, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396378790
  • Provider Enumeration Date: 02/14/2020
  • Last Update Date: 02/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779996517
  • Enrollment ID: I20210524002374

Medical Identifiers

Medical identifiers for Basirat Pelemo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396378790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 641085 (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. Basirat Pelemo allows following entities to bill medicare on her behalf.
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532

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. Basirat Pelemo 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
Basirat Pelemo, FNP
456 Van Duzer St Apt D3,
Staten Island, NY 10304-2076

Ph: (347) 782-5104		Basirat Pelemo, FNP
456 Van Duzer St Apt D3,
Staten Island, NY 10304-2076

Ph: (347) 782-5104

Reviews and Comments


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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).

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