Mr Michael Victor Rella, is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Jeff Sta, New York. His current practice location is
5316 Nesconset Hwy, Port Jeff Sta, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 689-7800.
Mr Michael Victor Rella is licensed to practice in New York (license number 310394) 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 1730837162.
Provider's Profile
Full Name | Mr Michael Victor Rella |
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Gender | Male |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 5316 Nesconset Hwy, Port Jeff Sta, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730837162
- Provider Enumeration Date: 03/15/2022
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709273212
- Enrollment ID: I20220503000194
Medical Identifiers
Medical identifiers for Mr Michael Victor Rella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730837162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 310394 (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 Michael Victor Rella allows following entities to bill medicare on his behalf.
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
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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 Michael Victor Rella 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 Michael Victor Rella, 24 Sylvan Ln, Miller Place, NY 11764-1536 Ph: (631) 764-1355 | Mr Michael Victor Rella, 5316 Nesconset Hwy, Port Jeff Sta, NY 11776-2591 Ph: (631) 689-7800 |
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