Lara Madonia Fabish, RN, CRNP in Bronx, NY - Medicare Nurse Practitioner

Lara Madonia Fabish, RN, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bronx, New York. Her current practice location is 3415 Bainbridge Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 741-2342.

Lara Madonia Fabish is licensed to practice in New York (license number 382634) 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 1962776328.

Contact Information

	Lara Madonia Fabish, RN, CRNP
	3415 Bainbridge Ave, Bronx, NY 10467-2403
	(718) 741-2342
	Not Available

Map and Direction

Provider's Profile

Full Name	Lara Madonia Fabish
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3415 Bainbridge Ave, Bronx, 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: 1962776328
Provider Enumeration Date: 03/02/2012
Last Update Date: 10/07/2016

Medicare PECOS Information:

PECOS PAC ID: 7113205477
Enrollment ID: I20161021000246

Medical Identifiers

Medical identifiers for Lara Madonia Fabish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962776328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP011810 (Pennsylvania)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	382634 (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. Lara Madonia Fabish allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Lara Madonia Fabish 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
Lara Madonia Fabish, RN, CRNP 3260 Henry Hudson Pkwy, Apt 3k, Bronx, NY 10463-3289 Ph: (201) 788-7358	Lara Madonia Fabish, RN, CRNP 3415 Bainbridge Ave, Bronx, NY 10467-2403 Ph: (718) 741-2342

Reviews and Comments

Nurse Practitioner Nurses in Bronx, NY

Ms. Christina Marie Araujo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Mickle Ave, Bronx, NY 10469 Phone: 718-652-4647
Tandika Boatswain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
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Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276
Mrs. Ashley Rae Noboa, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3415 Bainbridge Ave, Bronx, NY 10467 Phone: 718-920-7200 Fax: 718-547-2929
Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Lara Madonia Fabish, RN, CRNP - Medicare Nurse Practitioner in Bronx, NY