Ms Julianne Renee Vasconcellos, PA-C in New York, NY

Ms Julianne Renee Vasconcellos, PA-C is a medicare enrolled "Physician Assistant" in New York, New York. Her current practice location is 525 E 68th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 990-8800.

Ms Julianne Renee Vasconcellos is licensed to practice in New York (license number 020944-1) 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 1215457940.

Contact Information

	Ms Julianne Renee Vasconcellos, PA-C
	525 E 68th St, New York, NY 10065-4870
	(646) 990-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Julianne Renee Vasconcellos
Gender	Female
Speciality	Physician Assistant
Location	525 E 68th St, New York, 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: 1215457940
Provider Enumeration Date: 06/23/2017
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9739572017
Enrollment ID: I20220428000701

Medical Identifiers

Medical identifiers for Ms Julianne Renee Vasconcellos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215457940	NPI	-	NPPES
020944-1	Medicaid	NY
25MP00439500	Other	NJ	NEW JERSEY PHYSICIAN ASSISTANT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	25MP00439500 (New Jersey)	Secondary
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	020944-1 (New York)	Primary

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 Julianne Renee Vasconcellos 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
Ms Julianne Renee Vasconcellos, PA-C 298 6th St Apt 3, Jersey City, NJ 07302-6913 Ph: (466) 990-8800	Ms Julianne Renee Vasconcellos, PA-C 525 E 68th St, New York, NY 10065-4870 Ph: (646) 990-8800

Reviews and Comments

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Ms Julianne Renee Vasconcellos, PA-C - Medicare Physician Assistant in New York, NY