Deserene Lin Overton, MSN, APRN, FNP- BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Montgomery, New York. Her current practice location is
9 Lakeview Dr # 952, Fort Montgomery, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 752-8354.
Deserene Lin Overton is licensed to practice in New York (license number 352396) 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 1861170409.
Provider's Profile
Full Name | Deserene Lin Overton |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9 Lakeview Dr # 952, Fort Montgomery, 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. |
NPI Data:
- NPI Number: 1861170409
- Provider Enumeration Date: 07/05/2023
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193173821
- Enrollment ID: I20231118000500
Medical Identifiers
Medical identifiers for Deserene Lin Overton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861170409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 352396 (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. Deserene Lin Overton allows following entities to bill medicare on her behalf.
Entity Name | Bon Secours Charity Health System Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971 |
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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. Deserene Lin Overton 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 |
Deserene Lin Overton, MSN, APRN, FNP- BC 9 Lakeview Dr # 952, Fort Montgomery, NY 10922-7731 Ph: () - | Deserene Lin Overton, MSN, APRN, FNP- BC 9 Lakeview Dr # 952, Fort Montgomery, NY 10922-7731 Ph: (914) 752-8354 |
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