Mrs Jacquelyn Carol Censullo, RN in Lynn, MA - Medicare Nurse Practitioner

Mrs Jacquelyn Carol Censullo, RN is a medicare enrolled "Nurse Practitioner" in Lynn, Massachusetts. Her current practice location is 41 Bulfinch Ter, Lynn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 724-1796.

Mrs Jacquelyn Carol Censullo is licensed to practice in Massachusetts (license number RN2261610) 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 1851025662.

Contact Information

	Mrs Jacquelyn Carol Censullo, RN
	41 Bulfinch Ter, Lynn, MA 01902-1021
	(781) 724-1796
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn Carol Censullo
Gender	Female
Speciality	Nurse Practitioner
Location	41 Bulfinch Ter, Lynn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851025662
Provider Enumeration Date: 07/16/2022
Last Update Date: 07/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7416302047
Enrollment ID: I20231017001008

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Carol Censullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851025662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2261610 (Massachusetts)	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 Jacquelyn Carol Censullo allows following entities to bill medicare on her behalf.

Entity Name	North Shore Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668

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 Jacquelyn Carol Censullo 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 Jacquelyn Carol Censullo, RN 41 Bulfinch Ter, Lynn, MA 01902-1021 Ph: (781) 724-1796	Mrs Jacquelyn Carol Censullo, RN 41 Bulfinch Ter, Lynn, MA 01902-1021 Ph: (781) 724-1796

Reviews and Comments

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Mrs Jacquelyn Carol Censullo, RN - Medicare Nurse Practitioner in Lynn, MA