Jill M Agne, FNP in North Syracuse, NY - Medicare Nurse Practitioner

Jill M Agne, FNP is a medicare enrolled "Nurse Practitioner - Family" in North Syracuse, New York. Her current practice location is 5229 Witz Drive, North Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 701-9500.

Jill M Agne is licensed to practice in New York (license number F332736) 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 1144299397.

Contact Information

	Jill M Agne, FNP
	5229 Witz Drive, North Syracuse, NY 13212
	(315) 701-9500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jill M Agne
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5229 Witz Drive, North Syracuse, 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: 1144299397
Provider Enumeration Date: 03/17/2006
Last Update Date: 07/11/2007

Medicare PECOS Information:

PECOS PAC ID: 8820319411
Enrollment ID: I20150608002396

Medical Identifiers

Medical identifiers for Jill M Agne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144299397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F332736 (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. Jill M Agne allows following entities to bill medicare on her behalf.

Entity Name	St Josephs Hospital Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400

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. Jill M Agne 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
Jill M Agne, FNP 5229 Witz Drive, North Syracuse, NY 13212 Ph: (315) 701-9500	Jill M Agne, FNP 5229 Witz Drive, North Syracuse, NY 13212 Ph: (315) 701-9500

Reviews and Comments

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Jill M Agne, FNP - Medicare Nurse Practitioner in North Syracuse, NY