Kelly Ann Antimisiaris, in Massapequa, NY - Medicare Nurse Practitioner

Kelly Ann Antimisiaris, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Massapequa, New York. Her current practice location is 5550 Merrick Rd, Massapequa, New York. You can reach out to her office (for appointments etc.) via phone at (631) 773-1096.

Kelly Ann Antimisiaris is licensed to practice in New York (license number 405343) 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 1265213797.

Contact Information

	Kelly Ann Antimisiaris,
	5550 Merrick Rd, Massapequa, NY 11758-6238
	(631) 773-1096
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ann Antimisiaris
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5550 Merrick Rd, Massapequa, 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: 1265213797
Provider Enumeration Date: 10/10/2023
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9234577339
Enrollment ID: I20240409002840

Medical Identifiers

Medical identifiers for Kelly Ann Antimisiaris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265213797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	405343 (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. Kelly Ann Antimisiaris allows following entities to bill medicare on her behalf.

Entity Name	Priyadarshan Bajpayi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629534474 PECOS PAC ID: 6608118179 Enrollment ID: O20190502001387

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. Kelly Ann Antimisiaris 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
Kelly Ann Antimisiaris, 5550 Merrick Rd, Massapequa, NY 11758-6238 Ph: () -	Kelly Ann Antimisiaris, 5550 Merrick Rd, Massapequa, NY 11758-6238 Ph: (631) 773-1096

Reviews and Comments

Nurse Practitioner Nurses in Massapequa, NY

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Ashley Mancilla, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Ontario Ave, Massapequa, NY 11758 Phone: 347-436-2208
Ana V. Payano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5509 Merrick Rd, Massapequa, NY 11758 Phone: 631-983-4419
Joanne Pierre-louis, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 25 Denise St, Massapequa, NY 11758 Phone: 516-343-0405
Brooke B Bignall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4150 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-663-6400 Fax: 516-307-8840

Kelly Ann Antimisiaris, - Medicare Nurse Practitioner in Massapequa, NY