Mrs Diana I Pekisheva, PSYCH NP in Paterson, NJ

Mrs Diana I Pekisheva, PSYCH NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Paterson, New Jersey. Her current practice location is 541 E 29th St, Paterson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 523-6830.

Mrs Diana I Pekisheva is licensed to practice in New Jersey (license number 26NJ14938800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386410710.

Contact Information

	Mrs Diana I Pekisheva, PSYCH NP
	541 E 29th St, Paterson, NJ 07504-1813
	(973) 523-6830
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Diana I Pekisheva
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	541 E 29th St, Paterson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386410710
Provider Enumeration Date: 11/27/2023
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7315380045
Enrollment ID: I20240524003113

Medical Identifiers

Medical identifiers for Mrs Diana I Pekisheva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386410710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ14938800 (New Jersey)	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. Mrs Diana I Pekisheva allows following entities to bill medicare on her behalf.

Entity Name	Gamal E Gad Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326231911 PECOS PAC ID: 0941393896 Enrollment ID: O20070908000011

Entity Name	Tenafly Psychiatric Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821063835 PECOS PAC ID: 1759345614 Enrollment ID: O20080923000505

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. Mrs Diana I Pekisheva 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
Mrs Diana I Pekisheva, PSYCH NP 233 E 7th St, Clifton, NJ 07011-1737 Ph: (201) 873-2553	Mrs Diana I Pekisheva, PSYCH NP 541 E 29th St, Paterson, NJ 07504-1813 Ph: (973) 523-6830

Reviews and Comments

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Mrs Diana I Pekisheva, PSYCH NP - Medicare Nurse Practitioner in Paterson, NJ