Genevieve Spota, in Staten Island, NY - Medicare Nurse Practitioner

Genevieve Spota, is a medicare enrolled "Nurse Practitioner - Adult Health" in Staten Island, New York. Her current practice location is 130 Rose Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 980-1553.

Genevieve Spota is licensed to practice in New York (license number F307015-1) 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 1003214628.

Contact Information

	Genevieve Spota,
	130 Rose Ave, Staten Island, NY 10306-2241
	(718) 980-1553
	Not Available

Map and Direction

Provider's Profile

Full Name	Genevieve Spota
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	130 Rose Ave, 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: 1003214628
Provider Enumeration Date: 12/13/2014
Last Update Date: 12/13/2014

Medicare PECOS Information:

PECOS PAC ID: 2860727641
Enrollment ID: I20190716002817

Medical Identifiers

Medical identifiers for Genevieve Spota such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003214628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F307015-1 (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. Genevieve Spota allows following entities to bill medicare on her behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160521000037

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. Genevieve Spota 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
Genevieve Spota, 130 Rose Ave, Staten Island, NY 10306-2241 Ph: () -	Genevieve Spota, 130 Rose Ave, Staten Island, NY 10306-2241 Ph: (718) 980-1553

Reviews and Comments

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Genevieve Spota, - Medicare Nurse Practitioner in Staten Island, NY