Mark A Profetto, FNP in Fayetteville, NY - Medicare Nurse Practitioner

Mark A Profetto, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, New York. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice New York Anesthesiology Medical Specialties Pc and his current practice location is 4103 Medical Center Dr, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 637-7800.

Mark A Profetto is licensed to practice in New York (license number 33 335305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487852851.

Contact Information

	Mark A Profetto, FNP
	4103 Medical Center Dr, Fayetteville, NY 13066-6600
	(315) 637-7800
	(315) 637-7808

Map and Direction

Provider's Profile

Full Name	Mark A Profetto
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	4103 Medical Center Dr, Fayetteville, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark A Profetto graduated from nursing school in 2007

NPI Data:

NPI Number: 1487852851
Provider Enumeration Date: 07/06/2007
Last Update Date: 12/02/2011

Medicare PECOS Information:

PECOS PAC ID: 8224197868
Enrollment ID: I20081111000540

Medical Identifiers

Medical identifiers for Mark A Profetto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487852851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	33 335305 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York Anesthesiology Medical Specialties Pc	3375535396	30

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. Mark A Profetto allows following entities to bill medicare on his behalf.

Entity Name	St Joseph's Physician Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159

Entity Name	New York Anesthesiology Medical Specialties Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841285996 PECOS PAC ID: 3375535396 Enrollment ID: O20040331000822

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. Mark A Profetto 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
Mark A Profetto, FNP 4103 Medical Center Dr, Fayetteville, NY 13066-6600 Ph: (315) 637-7800	Mark A Profetto, FNP 4103 Medical Center Dr, Fayetteville, NY 13066-6600 Ph: (315) 637-7800

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NY

Mary Oot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500
Ms. Hannah Joan Walsh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Theresa Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hunt Dr, Fayetteville, NY 13066 Phone: 315-637-8148
Jayme K Schreck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514
Taylor Fisher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6870 E Genesee St, Fayetteville, NY 13066 Phone: 315-679-4367
Mrs. Jenaye Karin Broe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066 Phone: 315-663-0100
Kathleen Judith Hergert, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-627-0448

Mark A Profetto, FNP - Medicare Nurse Practitioner in Fayetteville, NY