Beverly Gene Ischia, FAMILY NURSE PRACTIT is a medicare enrolled "Family Medicine" in Whitesboro, New York. Her current practice location is
37 Main St., Whitesboro, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 736-9337.
Beverly Gene Ischia is licensed to practice in New York (license number 337598) 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 1689767204.
Provider's Profile
| Full Name | Beverly Gene Ischia |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 37 Main St., Whitesboro, 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: 1689767204
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 12/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 1355382532
- Enrollment ID: I20050518000402
Medical Identifiers
Medical identifiers for Beverly Gene Ischia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689767204 | NPI | - | NPPES |
| F300407 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | F300407 (New York) | Secondary |
| 207Q00000X | Family Medicine | 337598 (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. Beverly Gene Ischia allows following entities to bill medicare on her behalf.
| Entity Name | Upstate Cerebral Palsy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780636506
PECOS PAC ID: 5496734758
Enrollment ID: O20040719001380 |
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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. Beverly Gene Ischia 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 |
|---|
Beverly Gene Ischia, FAMILY NURSE PRACTIT
24 Rockport Rd.,
New Hartford, NY 13413
Ph: () - | Beverly Gene Ischia, FAMILY NURSE PRACTIT
37 Main St.,
Whitesboro, NY 13492
Ph: (315) 736-9337 |
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