Mrs Rosalie Faulkner, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Bayshore, New York. Her current practice location is
301 East Main Street, Department Of Cardiology, Bayshore, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 968-3171.
Mrs Rosalie Faulkner is licensed to practice in New York (license number F304403-1) 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 1710997820.
Provider's Profile
| Full Name | Mrs Rosalie Faulkner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 301 East Main Street, Bayshore, 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. |
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NPI Data:
- NPI Number: 1710997820
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 09/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 1355788514
- Enrollment ID: I20240322003054
Medical Identifiers
Medical identifiers for Mrs Rosalie Faulkner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710997820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | F304403-1 (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 Rosalie Faulkner allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Mrs Rosalie Faulkner 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 |
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Mrs Rosalie Faulkner, ANP-C
61 Sylvia Dr,
West Islip, NY 11795-2719
Ph: (631) 539-4840 | Mrs Rosalie Faulkner, ANP-C
301 East Main Street, Department Of Cardiology,
Bayshore, NY 11706
Ph: (631) 968-3171 |
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