Bianca Disomma, in Staten Island, NY - Medicare Nurse Practitioner

Bianca Disomma, is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 1100 South Ave Ste 300, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 226-5700.

Bianca Disomma is licensed to practice in New York (license number 351147) 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 1851099006.

Contact Information

	Bianca Disomma,
	1100 South Ave Ste 300, Staten Island, NY 10314-3410
	(718) 226-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Bianca Disomma
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 South Ave Ste 300, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851099006
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4688017783
Enrollment ID: I20240206001487

Medical Identifiers

Medical identifiers for Bianca Disomma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851099006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	351147 (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. Bianca Disomma allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Bianca Disomma 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
Bianca Disomma, 480 Main St, Staten Island, NY 10307-1728 Ph: () -	Bianca Disomma, 1100 South Ave Ste 300, Staten Island, NY 10314-3410 Ph: (718) 226-5700

Reviews and Comments

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Bianca Disomma, - Medicare Nurse Practitioner in Staten Island, NY