Mr Jimmy Javier Rendon, PMHNP in Brooklyn, NY

Mr Jimmy Javier Rendon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn, New York. His current practice location is 760 Broadway, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 437-5903.

Mr Jimmy Javier Rendon is licensed to practice in New York (license number 404370) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528745767.

Contact Information

	Mr Jimmy Javier Rendon, PMHNP
	760 Broadway, Brooklyn, NY 11206-5383
	(718) 437-5903
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jimmy Javier Rendon
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	760 Broadway, Brooklyn, 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: 1528745767
Provider Enumeration Date: 06/29/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1759738834
Enrollment ID: I20231110001512

Medical Identifiers

Medical identifiers for Mr Jimmy Javier Rendon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528745767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404370 (New York)	Primary

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 Jimmy Javier Rendon 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 Jimmy Javier Rendon, PMHNP 760 Broadway Fl 5, Brooklyn, NY 11206-5383 Ph: (718) 437-5903	Mr Jimmy Javier Rendon, PMHNP 760 Broadway, Brooklyn, NY 11206-5383 Ph: (718) 437-5903

Reviews and Comments

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Mr Jimmy Javier Rendon, PMHNP - Medicare Nurse Practitioner in Brooklyn, NY