Jolene Ann Knight, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mastic Beach, New York. Her current practice location is
227 Commack Rd, Mastic Beach, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 578-5080.
Jolene Ann Knight is licensed to practice in New York (license number 405075) 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 1912255415.
Provider's Profile
Full Name | Jolene Ann Knight |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 227 Commack Rd, Mastic Beach, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912255415
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941656516
- Enrollment ID: I20231102001904
Medical Identifiers
Medical identifiers for Jolene Ann Knight such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912255415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0600X | Registered Nurse - Gerontology | 759874 (New York) | Secondary |
164W00000X | Licensed Practical Nurse | 310830-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405075 (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. Jolene Ann Knight allows following entities to bill medicare on her behalf.
Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
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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. Jolene Ann Knight 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 |
Jolene Ann Knight, RN, PMHNP 227 Commack Rd, Mastic Beach, NY 11951-3427 Ph: (631) 578-5080 | Jolene Ann Knight, RN, PMHNP 227 Commack Rd, Mastic Beach, NY 11951-3427 Ph: (631) 578-5080 |
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