Mrs Shacarah L Fordjour, APN in Paterson, NJ - Medicare Nurse Practitioner

Mrs Shacarah L Fordjour, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Paterson, New Jersey. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Princeton House Provider Group Llc and her current practice location is 90 Delaware Ave, 2nd Fl, Paterson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 321-2271.

Mrs Shacarah L Fordjour is licensed to practice in New Jersey (license number 37PC00674300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982883443.

Contact Information

	Mrs Shacarah L Fordjour, APN
	90 Delaware Ave, 2nd Fl, Paterson, NJ 07503-1804
	(973) 321-2271
	(973) 321-2254

Map and Direction

Provider's Profile

Full Name	Mrs Shacarah L Fordjour
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	90 Delaware Ave, Paterson, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shacarah L Fordjour graduated from nursing school in 2007

NPI Data:

NPI Number: 1982883443
Provider Enumeration Date: 10/31/2007
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6608062286
Enrollment ID: I20101122000563

Medical Identifiers

Medical identifiers for Mrs Shacarah L Fordjour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982883443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	26NJ00166500 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	37PC00674300 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Princeton House Provider Group Llc	0244540540	41

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 Shacarah L Fordjour allows following entities to bill medicare on her behalf.

Entity Name	Drx Paramus, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316272685 PECOS PAC ID: 2466589585 Enrollment ID: O20100422000051

Entity Name	Princeton House Provider Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881078681 PECOS PAC ID: 0244540540 Enrollment ID: O20151116001851

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 Shacarah L Fordjour 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 Shacarah L Fordjour, APN 90 Delaware Ave, 2nd Fl, Paterson, NJ 07503-1804 Ph: (973) 321-2271	Mrs Shacarah L Fordjour, APN 90 Delaware Ave, 2nd Fl, Paterson, NJ 07503-1804 Ph: (973) 321-2271

Reviews and Comments

Nurse Practitioner Nurses in Paterson, NJ

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Diane E Mcclure, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567
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Mrs Shacarah L Fordjour, APN - Medicare Nurse Practitioner in Paterson, NJ