Ms Idalissie Altagracia Peguero, APN, PMHNPBC - Medicare Nurse Practitioner in Newark, NJ

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Ms Idalissie Altagracia Peguero, APN, PMHNPBC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Newark, New Jersey. Her current practice location is 550 Broad St Ste 606, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 822-1161.

Ms Idalissie Altagracia Peguero is licensed to practice in New Jersey (license number 26NJ00838200) 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 1689154437.

Contact Information

Ms Idalissie Altagracia Peguero, APN, PMHNPBC
550 Broad St Ste 606,
Newark, NJ 07102-4537
(201) 822-1161
(877) 485-8918

Map and Direction




Provider's Profile

Full NameMs Idalissie Altagracia Peguero
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location550 Broad St Ste 606, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689154437
  • Provider Enumeration Date: 08/20/2018
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527311489
  • Enrollment ID: I20181024000014

Medical Identifiers

Medical identifiers for Ms Idalissie Altagracia Peguero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689154437NPI-NPPES
0655881MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ00838200 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ00838200 (New Jersey)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. Ms Idalissie Altagracia Peguero allows following entities to bill medicare on her behalf.
Entity NameCare Plus Nj Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356394555
PECOS PAC ID: 9436160553
Enrollment ID: O20060605000088
Entity NameG&s Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982982336
PECOS PAC ID: 0244404697
Enrollment ID: O20111121000313
Entity NameJls Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164007043
PECOS PAC ID: 7719342005
Enrollment ID: O20230419002320

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. Ms Idalissie Altagracia Peguero 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 AddressPractice Location Address
Ms Idalissie Altagracia Peguero, APN, PMHNPBC
606 Broadway,
Paterson, NJ 07514-1916

Ph: (973) 523-4000		Ms Idalissie Altagracia Peguero, APN, PMHNPBC
550 Broad St Ste 606,
Newark, NJ 07102-4537

Ph: (201) 822-1161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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