Mrs Clarissa Lynn Brown, NP in Deer Park, NY - Medicare Nurse Practitioner

Mrs Clarissa Lynn Brown, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Deer Park, New York. Her current practice location is 770 Grand Blvd, Deer Park, New York. You can reach out to her office (for appointments etc.) via phone at (631) 896-2512.

Mrs Clarissa Lynn Brown is licensed to practice in New York (license number 402845) 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 1790069300.

Contact Information

	Mrs Clarissa Lynn Brown, NP
	770 Grand Blvd, Deer Park, NY 11729-5750
	(631) 896-2512
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Clarissa Lynn Brown
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	770 Grand Blvd, Deer Park, 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: 1790069300
Provider Enumeration Date: 09/30/2011
Last Update Date: 01/28/2020

Medicare PECOS Information:

PECOS PAC ID: 7618395799
Enrollment ID: I20200922002896

Medical Identifiers

Medical identifiers for Mrs Clarissa Lynn Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790069300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	640570 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	402845 (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. Mrs Clarissa Lynn Brown allows following entities to bill medicare on her behalf.

Entity Name	South Shore Magnetic Resonance Imaging Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194736199 PECOS PAC ID: 8729991971 Enrollment ID: O20031112000542

Entity Name	Samaritan Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051

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. Mrs Clarissa Lynn Brown 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
Mrs Clarissa Lynn Brown, NP 2 View Dr, Miller Place, NY 11764-2236 Ph: (631) 896-2512	Mrs Clarissa Lynn Brown, NP 770 Grand Blvd, Deer Park, NY 11729-5750 Ph: (631) 896-2512

Reviews and Comments

Nurse Practitioner Nurses in Deer Park, NY

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Desiree Inez Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166
Kristy Marie Raio, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1920 Deer Park Ave Ste 104, Deer Park, NY 11729 Phone: 631-392-1680
Jesslynn Mannino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Commack Rd, Deer Park, NY 11729 Phone: 631-940-0409

Mrs Clarissa Lynn Brown, NP - Medicare Nurse Practitioner in Deer Park, NY