Clarissa Fay, APN,C in Emerson, NJ - Medicare Nurse Practitioner

Clarissa Fay, APN,C is a medicare enrolled "Nurse Practitioner - Women's Health" in Emerson, New Jersey. Her current practice location is 466 Old Hook Rd Ste 16, Emerson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 391-5443.

Clarissa Fay is licensed to practice in New Jersey (license number NN68962) 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 1700051091.

Contact Information

	Clarissa Fay, APN,C
	466 Old Hook Rd Ste 16, Emerson, NJ 07630-1368
	(201) 391-5443
	Not Available

Map and Direction

Provider's Profile

Full Name	Clarissa Fay
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	466 Old Hook Rd Ste 16, Emerson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700051091
Provider Enumeration Date: 04/28/2008
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6002226172
Enrollment ID: I20201030000366

Medical Identifiers

Medical identifiers for Clarissa Fay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700051091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	NN68962 (New Jersey)	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. Clarissa Fay allows following entities to bill medicare on her behalf.

Entity Name	Lifeline Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821041617 PECOS PAC ID: 1456332170 Enrollment ID: O20040528000067

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. Clarissa Fay 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
Clarissa Fay, APN,C 41 Glenmere Ter, Mahwah, NJ 07430-2812 Ph: (201) 785-0928	Clarissa Fay, APN,C 466 Old Hook Rd Ste 16, Emerson, NJ 07630-1368 Ph: (201) 391-5443

Reviews and Comments

Nurse Practitioner Nurses in Emerson, NJ

Eui Kim, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630 Phone: 201-967-8221
Melanie M. Robles-jain, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 452 Old Hook Rd, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505
Mary Barr, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505
Kathe Olohan, RN APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Old Hook Rd Fl 2, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505
Dawn Sheafe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630 Phone: 201-967-8221 Fax: 201-967-0340
Aileen Twomey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505

Clarissa Fay, APN,C - Medicare Nurse Practitioner in Emerson, NJ