Desiree Inez Dennis, NP in Deer Park, NY - Medicare Nurse Practitioner

Desiree Inez Dennis, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Deer Park, New York. Her current practice location is 1630 Deer Park Ave, Deer Park, New York. You can reach out to her office (for appointments etc.) via phone at (631) 242-6166.

Desiree Inez Dennis is licensed to practice in New York (license number 310456) 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 1215690425.

Contact Information

	Desiree Inez Dennis, NP
	1630 Deer Park Ave, Deer Park, NY 11729-5210
	(631) 242-6166
	Not Available

Map and Direction

Provider's Profile

Full Name	Desiree Inez Dennis
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1630 Deer Park Ave, Deer Park, 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: 1215690425
Provider Enumeration Date: 10/15/2021
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8426440595
Enrollment ID: I20220121002275

Medical Identifiers

Medical identifiers for Desiree Inez Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215690425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	310456 (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. Desiree Inez Dennis allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Cardiology At Deer Park Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972941953 PECOS PAC ID: 4486879418 Enrollment ID: O20140708001692

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. Desiree Inez Dennis 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
Desiree Inez Dennis, NP 18 Campbell Ln, East Islip, NY 11730-3619 Ph: (631) 332-1424	Desiree Inez Dennis, NP 1630 Deer Park Ave, Deer Park, NY 11729-5210 Ph: (631) 242-6166

Reviews and Comments

Nurse Practitioner Nurses in Deer Park, NY

Dina Nicklas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Wright Ave, Deer Park, NY 11729 Phone: 631-241-5928
Georgia Kelly-williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Tiber Ave, Deer Park, NY 11729 Phone: 631-404-8843
Catherine Stinsman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-6690 Fax: 631-595-1502
Celeste Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Sammis Ave, Deer Park, NY 11729 Phone: 917-664-9932
Kristy Marie Raio, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1920 Deer Park Ave Ste 104, Deer Park, NY 11729 Phone: 631-392-1680
Jesslynn Mannino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Commack Rd, Deer Park, NY 11729 Phone: 631-940-0409

Desiree Inez Dennis, NP - Medicare Nurse Practitioner in Deer Park, NY