Ms Jeannette Santulli, NURSE PRACTITIONER is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Dix Hills, New York. Her current practice location is
197 Half Hollow Rd, Dix Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 286-6935.
Ms Jeannette Santulli is licensed to practice in New York (license number F4011561) 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 1497946784.
Provider's Profile
| Full Name | Ms Jeannette Santulli |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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| Location | 197 Half Hollow Rd, Dix Hills, 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: 1497946784
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 01/13/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365859030
- Enrollment ID: I20240523002666
Medical Identifiers
Medical identifiers for Ms Jeannette Santulli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497946784 | NPI | - | NPPES |
| 02077636 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 417230 1 (New York) | Secondary |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | F401156-1 (New York) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | F4011561 (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. Ms Jeannette Santulli allows following entities to bill medicare on her behalf.
| Entity Name | John T Mather Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932296316
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754 |
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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. Ms Jeannette Santulli 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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Ms Jeannette Santulli, NURSE PRACTITIONER
56 Jacqueline Way,
North Babylon, NY 11703-1206
Ph: (631) 683-4199 | Ms Jeannette Santulli, NURSE PRACTITIONER
197 Half Hollow Rd,
Dix Hills, NY 11746-5861
Ph: (631) 286-6935 |
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