Mr Abraham Dasalla Potencion, APRN, BC in Staten Island, NY

Mr Abraham Dasalla Potencion, APRN, BC is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Orchard Cardiovascular Imaging and his current practice location is 475 Seaview Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 226-6134.

Mr Abraham Dasalla Potencion is licensed to practice in New Jersey (license number 26NJ00115800) 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 1366494361.

Contact Information

	Mr Abraham Dasalla Potencion, APRN, BC
	475 Seaview Ave, Staten Island, NY 10305-3436
	(718) 226-6134
	(718) 226-6133

Map and Direction

Provider's Profile

Full Name	Mr Abraham Dasalla Potencion
Gender	Male
Speciality	Nurse Practitioner
Experience	27 Years
Location	475 Seaview Ave, Staten Island, 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:

Mr Abraham Dasalla Potencion graduated from nursing school in 1997

NPI Data:

NPI Number: 1366494361
Provider Enumeration Date: 05/17/2006
Last Update Date: 10/10/2015

Medicare PECOS Information:

PECOS PAC ID: 8628125846
Enrollment ID: I20121026000396

Medical Identifiers

Medical identifiers for Mr Abraham Dasalla Potencion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366494361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	332578 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00115800 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orchard Cardiovascular Imaging	5799937066	2

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. Mr Abraham Dasalla Potencion allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Diagnostic Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382

Entity Name	Orchard Cardiovascular Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568713022 PECOS PAC ID: 5799937066 Enrollment ID: O20121213000014

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. Mr Abraham Dasalla Potencion 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
Mr Abraham Dasalla Potencion, APRN, BC 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-6134	Mr Abraham Dasalla Potencion, APRN, BC 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-6134

Reviews and Comments

Nurse Practitioner Nurses in Staten Island, NY

Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146
Alexis Rigo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650

Mr Abraham Dasalla Potencion, APRN, BC - Medicare Nurse Practitioner in Staten Island, NY