Julia C Sparkman, APRN - Medicare Nurse Practitioner in Port Chester, NY

Julia C Sparkman, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Port Chester, New York. Her current practice location is 5 Grace Church St, Port Chester, New York. You can reach out to her office (for appointments etc.) via phone at (203) 722-8938.

Julia C Sparkman is licensed to practice in Connecticut (license number 002512) 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 1316271737.

Contact Information

Julia C Sparkman, APRN
5 Grace Church St,
Port Chester, NY 10573-4911
(203) 722-8938
Not Available

Map and Direction




Provider's Profile

Full NameJulia C Sparkman
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location5 Grace Church St, Port Chester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316271737
  • Provider Enumeration Date: 10/01/2009
  • Last Update Date: 08/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274862115
  • Enrollment ID: I20190903000683

Medical Identifiers

Medical identifiers for Julia C Sparkman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316271737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 002512 (Connecticut)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. Julia C Sparkman allows following entities to bill medicare on her behalf.
Entity NameOpen Door Family Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285893719
PECOS PAC ID: 7113835380
Enrollment ID: O20150224001267

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. Julia C Sparkman 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
Julia C Sparkman, APRN
5 Grace Church St,
Port Chester, NY 10573-4911

Ph: (203) 722-8938
Julia C Sparkman, APRN
5 Grace Church St,
Port Chester, NY 10573-4911

Ph: (203) 722-8938

Reviews and Comments


Nurse Practitioner Nurses in Port Chester, NY

Ms. Claire Marie Bolan, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-937-8899    Fax: 914-941-8626
Sifat Ara Ameen,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 Pearl St, Port Chester, NY 10573
Phone: 914-265-4061    
Meghan Mcsherry,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-937-8899    
Mrs. Mary Elizabeth White, R.N., F.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-937-8899    
Jayne Flynn, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, NY 10573
Phone: 914-937-8899    
Angela Y Mercedes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-937-8899    Fax: 914-937-7932

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.