Mrs Jebin Mary Varghese, RN, FNP in Staten Island, NY

Mrs Jebin Mary Varghese, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 21 Roosevelt Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 753-0868.

Mrs Jebin Mary Varghese is licensed to practice in New York (license number 337215) 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 1396152567.

Contact Information

	Mrs Jebin Mary Varghese, RN, FNP
	21 Roosevelt Ave, Staten Island, NY 10314-4121
	(917) 753-0868
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jebin Mary Varghese
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21 Roosevelt Ave, Staten Island, 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: 1396152567
Provider Enumeration Date: 07/18/2014
Last Update Date: 07/18/2014

Medicare PECOS Information:

PECOS PAC ID: 0749597466
Enrollment ID: I20150914000819

Medical Identifiers

Medical identifiers for Mrs Jebin Mary Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396152567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	600059 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	337215 (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. Mrs Jebin Mary Varghese allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Jebin Mary Varghese 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 Jebin Mary Varghese, RN, FNP 21 Roosevelt Ave, Staten Island, NY 10314-4121 Ph: (917) 753-0868	Mrs Jebin Mary Varghese, RN, FNP 21 Roosevelt Ave, Staten Island, NY 10314-4121 Ph: (917) 753-0868

Reviews and Comments

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Mrs Jebin Mary Varghese, RN, FNP - Medicare Nurse Practitioner in Staten Island, NY