Mr Alexander Peguero-medrano, NP in Stony Brook, NY

Mr Alexander Peguero-medrano, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stony Brook, New York. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor and his current practice location is 169 Putnam Hall, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 632-9510.

Mr Alexander Peguero-medrano is licensed to practice in New York (license number 402196) 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 1033647623.

Contact Information

	Mr Alexander Peguero-medrano, NP
	169 Putnam Hall, Stony Brook, NY 11794-3240
	(631) 632-9510
	(631) 632-5870

Map and Direction

Provider's Profile

Full Name	Mr Alexander Peguero-medrano
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	169 Putnam Hall, Stony Brook, 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 Alexander Peguero-medrano graduated from nursing school in 2017

NPI Data:

NPI Number: 1033647623
Provider Enumeration Date: 05/26/2017
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5799030920
Enrollment ID: I20180612001836

Medical Identifiers

Medical identifiers for Mr Alexander Peguero-medrano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033647623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	402196 (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. Mr Alexander Peguero-medrano allows following entities to bill medicare on his behalf.

Entity Name	Stony Brook Psychiatric Associates University Faculty Practice Corpor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Apm Nurse Practitioner In Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982314035 PECOS PAC ID: 7416320064 Enrollment ID: O20230301000458

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 Alexander Peguero-medrano 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 Alexander Peguero-medrano, NP Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 632-9510	Mr Alexander Peguero-medrano, NP 169 Putnam Hall, Stony Brook, NY 11794-3240 Ph: (631) 632-9510

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Suny At Stony Brk, Stony Brook, NY 11794 Phone: 631-444-2701
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Mr Alexander Peguero-medrano, NP - Medicare Nurse Practitioner in Stony Brook, NY