Mrs Siobhan Marie Polese, NP in Bronx, NY - Medicare Nurse Practitioner

Mrs Siobhan Marie Polese, NP is a medicare enrolled "Nurse Practitioner" in Bronx, New York. Her current practice location is 3415 Bainbridge Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 741-2342.

Mrs Siobhan Marie Polese is licensed to practice in New York (license number 381531) 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 1790964278.

Contact Information

	Mrs Siobhan Marie Polese, NP
	3415 Bainbridge Ave, Bronx, NY 10467-2403
	(718) 741-2342
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Siobhan Marie Polese
Gender	Female
Speciality	Nurse Practitioner
Location	3415 Bainbridge Ave, Bronx, 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: 1790964278
Provider Enumeration Date: 10/31/2007
Last Update Date: 05/14/2019

Medicare PECOS Information:

PECOS PAC ID: 5799911855
Enrollment ID: I20131119001038

Medical Identifiers

Medical identifiers for Mrs Siobhan Marie Polese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790964278	NPI	-	NPPES
F381531	Other	NY	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	381531 (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 Siobhan Marie Polese allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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 Siobhan Marie Polese 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 Siobhan Marie Polese, NP 111 E 210th St, Rosenthal 4, Bronx, NY 10467-2401 Ph: (718) 741-2487	Mrs Siobhan Marie Polese, NP 3415 Bainbridge Ave, Bronx, NY 10467-2403 Ph: (718) 741-2342

Reviews and Comments

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Mrs Siobhan Marie Polese, NP - Medicare Nurse Practitioner in Bronx, NY