Mrs Saundra Lucinda Chisolm, NP in Far Rockaway, NY

Mrs Saundra Lucinda Chisolm, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Far Rockaway, New York. Her current practice location is 327 Beach 19th Street, Far Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at (718) 869-7224.

Mrs Saundra Lucinda Chisolm is licensed to practice in New York (license number F301912-1) 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 1508934514.

Contact Information

	Mrs Saundra Lucinda Chisolm, NP
	327 Beach 19th Street, Far Rockaway, NY 11691
	(718) 869-7224
	(718) 869-8226

Map and Direction

Provider's Profile

Full Name	Mrs Saundra Lucinda Chisolm
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	327 Beach 19th Street, Far Rockaway, 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: 1508934514
Provider Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567898281
Enrollment ID: I20200128002383

Medical Identifiers

Medical identifiers for Mrs Saundra Lucinda Chisolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508934514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F301912-1 (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 Saundra Lucinda Chisolm allows following entities to bill medicare on her behalf.

Entity Name	St John's Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203

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 Saundra Lucinda Chisolm 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 Saundra Lucinda Chisolm, NP 254 Pennsylvania Ave, Freeport, NY 11520-1329 Ph: (515) 378-3224	Mrs Saundra Lucinda Chisolm, NP 327 Beach 19th Street, Far Rockaway, NY 11691 Ph: (718) 869-7224

Reviews and Comments

Nurse Practitioner Nurses in Far Rockaway, NY

Amber Nicole Garrick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11506 Beach Channel Dr, Far Rockaway, NY 11694 Phone: 718-318-6021
Ms. Debra Slater, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 821 Bay 25th St, Far Rockaway, NY 11691 Phone: 718-471-3571 Fax: 718-471-0314
Blessy Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Beach 20th St, Far Rockaway, NY 11691 Phone: 929-437-6161 Fax: 888-501-6628
Esther Berenice Melka, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Jarvis Ave, Far Rockaway, NY 11691 Phone: 718-868-4808
Malka Schorr, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Beach 9th St, Far Rockaway, NY 11691 Phone: 917-444-2457
Dina Kret, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 833 Central Ave Apt 3j, Far Rockaway, NY 11691 Phone: 516-375-1989
Catherine Nozdrovicky, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Beach 20th St, Far Rockaway, NY 11691 Phone: 516-356-9569 Fax: 516-593-1046

Mrs Saundra Lucinda Chisolm, NP - Medicare Nurse Practitioner in Far Rockaway, NY