Marlene Isela Medina-johnson, in Cornwall, NY

Marlene Isela Medina-johnson, is a medicare enrolled "Nurse Practitioner - Family" in Cornwall, New York. Her current practice location is 2570 Us Highway 9w Ste 4, Cornwall, New York. You can reach out to her office (for appointments etc.) via phone at (845) 534-1505.

Marlene Isela Medina-johnson is licensed to practice in New York (license number F341123-1) 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 1841709284.

Contact Information

	Marlene Isela Medina-johnson,
	2570 Us Highway 9w Ste 4, Cornwall, NY 12518-1359
	(845) 534-1505
	Not Available

Map and Direction

Provider's Profile

Full Name	Marlene Isela Medina-johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2570 Us Highway 9w Ste 4, Cornwall, 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: 1841709284
Provider Enumeration Date: 09/28/2017
Last Update Date: 09/28/2017

Medicare PECOS Information:

PECOS PAC ID: 9436415163
Enrollment ID: I20171113000744

Medical Identifiers

Medical identifiers for Marlene Isela Medina-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841709284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F341123-1 (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. Marlene Isela Medina-johnson allows following entities to bill medicare on her behalf.

Entity Name	Bon Secours Charity Health System Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971

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. Marlene Isela Medina-johnson 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
Marlene Isela Medina-johnson, 83 Robinson Ave, Newburgh, NY 12550-4403 Ph: () -	Marlene Isela Medina-johnson, 2570 Us Highway 9w Ste 4, Cornwall, NY 12518-1359 Ph: (845) 534-1505

Reviews and Comments

Nurse Practitioner Nurses in Cornwall, NY

Mrs. Kimberly Darrigo, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Willow Ave, Cornwall, NY 12518 Phone: 845-565-1771 Fax: 845-565-4941
Romilda Canale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Route 9w, Cornwall, NY 12518 Phone: 845-220-3100
Geoffrey R Friedlander, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Turkey Hill Rd, Cornwall, NY 12518 Phone: 845-237-2102
Frances Anne Parisi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 164 Willow Ave, Cornwall, NY 12518 Phone: 845-534-3888 Fax: 845-534-4208

Marlene Isela Medina-johnson, - Medicare Nurse Practitioner in Cornwall, NY