Mr Juan Gaetan, CPNP-PC - Medicare Nurse Practitioner in Jamaica, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Jamaica
Mr Juan Gaetan, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Jamaica, New York. His current practice location is 82-68 164th St., Department Of Emergency Medicine, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at (718) 883-3075.

Mr Juan Gaetan is licensed to practice in New York (license number F381315) 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 1730165192.

Contact Information

Mr Juan Gaetan, CPNP-PC
82-68 164th St., Department Of Emergency Medicine,
Jamaica, NY 11432-1121
(718) 883-3075
(718) 883-6115

Map and Direction




Provider's Profile

Full NameMr Juan Gaetan
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location82-68 164th St., Jamaica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730165192
  • Provider Enumeration Date: 12/19/2005
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911996749
  • Enrollment ID: I20040507000831

Medical Identifiers

Medical identifiers for Mr Juan Gaetan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730165192NPI-NPPES
02267756MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 466314 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics F381315 (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 Juan Gaetan allows following entities to bill medicare on his behalf.
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521

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 Juan Gaetan 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 AddressPractice Location Address
Mr Juan Gaetan, CPNP-PC
2094 Pitkin Ave,
Brooklyn, NY 11207-3509

Ph: (718) 240-0400		Mr Juan Gaetan, CPNP-PC
82-68 164th St., Department Of Emergency Medicine,
Jamaica, NY 11432-1121

Ph: (718) 883-3075

Reviews and Comments


Nurse Practitioner Nurses in Jamaica, NY

Mary Clancy, PA
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418
Phone: 718-206-6000    
Miss Carol M Johnson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18716 Hillside Ave, Jamaica, NY 11432
Phone: 718-206-1288    Fax: 718-206-1289
Mrs. Emilia Ureh Nwachukwu, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14442 175th St, Jamaica, NY 11434
Phone: 718-525-7845    
Obioma Onah,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 21726 106th Ave, Jamaica, NY 11429
Phone: 347-393-5187    
Ms. Aliyamma Samuel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 82-68 164th St, Jamaica, NY 11432
Phone: 718-883-3225    Fax: 718-883-6193
Immacula Samson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8268 164th St, Jamaica, NY 11432
Phone: 718-883-3226    
Jessica Obidimalor, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 165-17 145th Road, Jamaica, NY 11434
Phone: 347-570-5153    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.