Jessy Lukose, in Brooklyn, NY - Medicare Nurse Practitioner

Jessy Lukose, is a medicare enrolled "Nurse Practitioner - Gerontology" in Brooklyn, New York. Her current practice location is 2601 Ocean Pkwy, Suite 4n98, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 616-3780.

Jessy Lukose is licensed to practice in New York (license number F340702-1) 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 1083931356.

Contact Information

	Jessy Lukose,
	2601 Ocean Pkwy, Suite 4n98, Brooklyn, NY 11235-7745
	(718) 616-3780
	(718) 616-3797

Map and Direction

Provider's Profile

Full Name	Jessy Lukose
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2601 Ocean Pkwy, Brooklyn, 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: 1083931356
Provider Enumeration Date: 04/27/2010
Last Update Date: 04/27/2010

Medicare PECOS Information:

PECOS PAC ID: 9638566292
Enrollment ID: I20220428002008

Medical Identifiers

Medical identifiers for Jessy Lukose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083931356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	F340702-1 (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. Jessy Lukose allows following entities to bill medicare on her behalf.

Entity Name	Mjhs Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013208602 PECOS PAC ID: 8325219009 Enrollment ID: O20110929000498

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. Jessy Lukose 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
Jessy Lukose, 148 Byrne Ave, Ph, Staten Island, NY 10314-4407 Ph: (718) 494-1874	Jessy Lukose, 2601 Ocean Pkwy, Suite 4n98, Brooklyn, NY 11235-7745 Ph: (718) 616-3780

Reviews and Comments

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Jessy Lukose, - Medicare Nurse Practitioner in Brooklyn, NY