Jaclyn C Abrahall, FNP-C, CDCES - Medicare Nurse Practitioner in Hauppauge, NY

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Jaclyn C Abrahall, FNP-C, CDCES is a medicare enrolled "Nurse Practitioner - Family" in Hauppauge, New York. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and her current practice location is 200 Motor Pkwy Ste C-16, Hauppauge, New York. You can reach out to her office (for appointments etc.) via phone at (631) 638-4933.

Jaclyn C Abrahall is licensed to practice in New York (license number 343035) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972036333.

Contact Information

Jaclyn C Abrahall, FNP-C, CDCES
200 Motor Pkwy Ste C-16,
Hauppauge, NY 11788-5114
(631) 638-4933
Not Available

Map and Direction




Provider's Profile

Full NameJaclyn C Abrahall
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location200 Motor Pkwy Ste C-16, Hauppauge, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn C Abrahall graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1972036333
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 01/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012255896
  • Enrollment ID: I20190221000904

Medical Identifiers

Medical identifiers for Jaclyn C Abrahall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972036333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 695786 (New York)Secondary
363LF0000XNurse Practitioner - Family 343035 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Internists University Faculty Practice Corporation9133019821373

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. Jaclyn C Abrahall allows following entities to bill medicare on her behalf.
Entity NameStony Brook Internists University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356380471
PECOS PAC ID: 9133019821
Enrollment ID: O20040524000844
Entity NameSayville Medical And Rehab Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134659386
PECOS PAC ID: 7113280652
Enrollment ID: O20180413001426
Entity NameSetauket Medical & Rehabilitation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811509409
PECOS PAC ID: 4880004654
Enrollment ID: O20201105002034
Entity NameRiverhead Medical & Rehabilitation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912519455
PECOS PAC ID: 8022421379
Enrollment ID: O20210106002016

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. Jaclyn C Abrahall 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
Jaclyn C Abrahall, FNP-C, CDCES
200 Motor Pkwy Ste C-16,
Hauppauge, NY 11788-5114

Ph: (631) 638-4933		Jaclyn C Abrahall, FNP-C, CDCES
200 Motor Pkwy Ste C-16,
Hauppauge, NY 11788-5114

Ph: (631) 638-4933

Reviews and Comments


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Ms. Tracy Manners,
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Ms. Gayle Couleas, ANP-C
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Medicare: Medicare Enrolled
Practice Location: 694 Motor Pkwy, Suite 101, Hauppauge, NY 11788
Phone: 631-265-9355    Fax: 631-864-8504
Caroline Larosa,
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Mrs. Renee Lynette Wilson-bennett, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Motor Pkwy Ste D22, Hauppauge, NY 11788
Phone: 631-273-1258    Fax: 631-273-1264

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.