Christian Defournoy Jr, - Medicare Nurse Practitioner in Staten Island, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Staten Island
Christian Defournoy Jr, is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. His current practice location is 1880 Hylan Blvd Ste 2r14, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (929) 312-1468.

Christian Defournoy Jr is licensed to practice in New York (license number F351785) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093041501.

Contact Information

Christian Defournoy Jr,
1880 Hylan Blvd Ste 2r14,
Staten Island, NY 10305-2116
(929) 312-1468
Not Available

Map and Direction




Provider's Profile

Full NameChristian Defournoy Jr
GenderMale
SpecialityNurse Practitioner - Family
Location1880 Hylan Blvd Ste 2r14, 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: 1093041501
  • Provider Enumeration Date: 10/19/2009
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305238890
  • Enrollment ID: I20231121000656

Medical Identifiers

Medical identifiers for Christian Defournoy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093041501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 719660 (New York)Secondary
164W00000XLicensed Practical Nurse 289076 (New York)Secondary
363LF0000XNurse Practitioner - Family F351785 (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. Christian Defournoy Jr allows following entities to bill medicare on his behalf.
Entity NamePeyman Younesi Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891053328
PECOS PAC ID: 4981860202
Enrollment ID: O20120731000499

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. Christian Defournoy Jr 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
Christian Defournoy Jr,
1880 Hylan Blvd Ste 2r14,
Staten Island, NY 10305-2116

Ph: (929) 312-1468		Christian Defournoy Jr,
1880 Hylan Blvd Ste 2r14,
Staten Island, NY 10305-2116

Ph: (929) 312-1468

Reviews and Comments


Nurse Practitioner Nurses in Staten Island, NY

Miss Margery Ann Shane, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306
Phone: 718-351-1136    Fax: 718-667-9711
Genevieve Spota,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 Rose Ave, Staten Island, NY 10306
Phone: 718-980-1553    
Daniella Otaiza, F.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 Little Clove Rd, Staten Island, NY 10301
Phone: 718-876-9600    Fax: 718-876-7773
Kristen Colandrea, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 347-681-4146    
Alexis Rigo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9000    
Alexandra Frances Manetta,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 73 Downes Ave, Staten Island, NY 10312
Phone: 718-517-0654    
Mrs. Amelia Tirado, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 139 Roe St, Staten Island, NY 10310
Phone: 718-720-6650    

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.