Jisha Merin Mathew, MS, FNP-BC - Medicare Nurse Practitioner in Valley Stream, NY

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Jisha Merin Mathew, MS, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Valley Stream, New York. Her current practice location is 1835 Oliver Ave, Apt 4, Valley Stream, New York. You can reach out to her office (for appointments etc.) via phone at (347) 972-7207.

Jisha Merin Mathew is licensed to practice in New York (license number 342567) 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 1700377934.

Contact Information

Jisha Merin Mathew, MS, FNP-BC
1835 Oliver Ave, Apt 4,
Valley Stream, NY 11580
(347) 972-7207
Not Available

Map and Direction




Provider's Profile

Full NameJisha Merin Mathew
GenderFemale
SpecialityNurse Practitioner - Family
Location1835 Oliver Ave, Valley Stream, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700377934
  • Provider Enumeration Date: 05/23/2018
  • Last Update Date: 05/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183031313
  • Enrollment ID: I20210405002188

Medical Identifiers

Medical identifiers for Jisha Merin Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700377934NPI-NPPES
2018000509OtherNYANCC FNPBC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 342567 (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. Jisha Merin Mathew allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558627844
PECOS PAC ID: 2264691070
Enrollment ID: O20120724000505
Entity NameDial Doc Now Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386245702
PECOS PAC ID: 4789096967
Enrollment ID: O20201211000862

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. Jisha Merin Mathew 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
Jisha Merin Mathew, MS, FNP-BC
1468 Madison Ave,
New York, NY 10029-6508

Ph: (212) 241-6639		Jisha Merin Mathew, MS, FNP-BC
1835 Oliver Ave, Apt 4,
Valley Stream, NY 11580

Ph: (347) 972-7207

Reviews and Comments


Nurse Practitioner Nurses in Valley Stream, NY

Ms. Abimbola Jaiyesimi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581
Phone: 516-825-3600    Fax: 516-872-5137
Taylor Marie Raia, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy Fl 3, Valley Stream, NY 11581
Phone: 516-336-5255    
Elana Deutscher, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 718 Hungry Harbor Rd, Valley Stream, NY 11581
Phone: 917-349-6395    
Kemesha Scott-denehy, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 42 Rose Ave, Valley Stream, NY 11580
Phone: 516-837-0415    
Ms. Janice Campbell-brewster, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581
Phone: 631-751-3000    
Chikodi Obichere,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 Ash Ln, Valley Stream, NY 11581
Phone: 917-536-8517    
Smith Maxume, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 28 Liberty Blvd, Valley Stream, NY 11580
Phone: 347-737-3009    

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.