Kelly Vanessa Amaya, in Islandia, NY - Medicare Nurse Practitioner

Kelly Vanessa Amaya, is a medicare enrolled "Nurse Practitioner - Family" in Islandia, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 3001 Expressway Dr N, Islandia, New York. You can reach out to her office (for appointments etc.) via phone at (631) 292-6747.

Kelly Vanessa Amaya is licensed to practice in New York (license number 344697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548801020.

Contact Information

	Kelly Vanessa Amaya,
	3001 Expressway Dr N, Islandia, NY 11749-5301
	(631) 292-6747
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Vanessa Amaya
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3001 Expressway Dr N, Islandia, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Vanessa Amaya attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2019

NPI Data:

NPI Number: 1548801020
Provider Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019

Medicare PECOS Information:

PECOS PAC ID: 9830525765
Enrollment ID: I20200212001327

Medical Identifiers

Medical identifiers for Kelly Vanessa Amaya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548801020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	344697 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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 Vanessa Amaya allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	North Shore Lij Ob Gyn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033453329 PECOS PAC ID: 7214172980 Enrollment ID: O20130329000011

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 Vanessa Amaya 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 Vanessa Amaya, 815 Commack Rd, Brentwood, NY 11717-7409 Ph: () -	Kelly Vanessa Amaya, 3001 Expressway Dr N, Islandia, NY 11749-5301 Ph: (631) 292-6747

Reviews and Comments

Nurse Practitioner Nurses in Islandia, NY

Kerry O'brien- Espinoza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Islandia, NY 11749 Phone: 631-292-6747
Maria Ann Clementi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr N Ste 100, Islandia, NY 11749 Phone: 631-434-1770
Sharon Shyrier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Motor Pkwy, Islandia, NY 11749 Phone: 631-855-1200 Fax: 631-630-6297
Ms. Deborah Duffy Adkins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 Phone: 631-444-3497 Fax: 631-444-1530
Anna Carroll, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Suite 104, Islandia, NY 11749 Phone: 631-435-0110 Fax: 631-435-4582
Mrs. Barbara E. Principio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767
Mrs. Kristen Anne Carman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1797 Veterans Memorial Hwy Ste 2, Islandia, NY 11749 Phone: 631-804-9403

Kelly Vanessa Amaya, - Medicare Nurse Practitioner in Islandia, NY