Marie Oconnor, NP is a medicare enrolled "Nurse Practitioner - Family" in South Salem, New York. Her current practice location is
21 Beaver Pond Rd, South Salem, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 775-9596.
Marie Oconnor is licensed to practice in New York (license number F354239-01) 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 1508601931.
Provider's Profile
| Full Name | Marie Oconnor |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 21 Beaver Pond Rd, South Salem, 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. |
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NPI Data:
- NPI Number: 1508601931
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 06/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648710590
- Enrollment ID: I20240906001896
Medical Identifiers
Medical identifiers for Marie Oconnor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508601931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F354239-01 (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. Marie Oconnor allows following entities to bill medicare on her behalf.
| Entity Name | Progressive Care Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295263796
PECOS PAC ID: 7113298209
Enrollment ID: O20170808002403 |
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| Entity Name | New York State Medical Health Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053173872
PECOS PAC ID: 9739524836
Enrollment ID: O20240228003287 |
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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. Marie Oconnor 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 |
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Marie Oconnor, NP
21 Beaver Pond Rd,
South Salem, NY 10590-2026
Ph: (914) 775-9596 | Marie Oconnor, NP
21 Beaver Pond Rd,
South Salem, NY 10590-2026
Ph: (914) 775-9596 |
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