Ms Kala Jessy Mathew, AGACNP-BC in Merrick, NY

Ms Kala Jessy Mathew, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Merrick, New York. Her current practice location is 1406 Cecily Dr, Merrick, New York. You can reach out to her office (for appointments etc.) via phone at (516) 205-3458.

Ms Kala Jessy Mathew is licensed to practice in New York (license number F432665-01) 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 1295412146.

Contact Information

	Ms Kala Jessy Mathew, AGACNP-BC
	1406 Cecily Dr, Merrick, NY 11566
	(516) 205-3458
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kala Jessy Mathew
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1406 Cecily Dr, Merrick, 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: 1295412146
Provider Enumeration Date: 07/03/2023
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8426499971
Enrollment ID: I20240515000332

Medical Identifiers

Medical identifiers for Ms Kala Jessy Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295412146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	F432665-01 (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 Kala Jessy Mathew allows following entities to bill medicare on her behalf.

Entity Name	North Shore Health System Medical Faculty Group Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003409061 PECOS PAC ID: 8022417328 Enrollment ID: O20210518002265

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 Kala Jessy Mathew 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 Kala Jessy Mathew, AGACNP-BC 450 Lakeville Road, Entrance B, Lake Success, NY 11042 Ph: (516) 734-8900	Ms Kala Jessy Mathew, AGACNP-BC 1406 Cecily Dr, Merrick, NY 11566 Ph: (516) 205-3458

Reviews and Comments

Nurse Practitioner Nurses in Merrick, NY

Dana Ahern Flick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2119 Merrick Rd, Merrick, NY 11566 Phone: 516-377-2820
Sumra Khan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Merrick Ave Ste 10, Merrick, NY 11566 Phone: 516-771-9797
Galia Bagdasarov, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2079 Lawry Ln, Merrick, NY 11566 Phone: 516-851-0817
Marygrace E Colucci, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1703 Merrick Ave, Merrick, NY 11566 Phone: 516-378-3311 Fax: 516-546-1517
Mr. Michael C Poliseno, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2094 Merrick Ave, Merrick, NY 11566 Phone: 516-375-5904 Fax: 516-804-2784
Mrs. Christina Scavo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Merrick Ave Ste 10, Merrick, NY 11566 Phone: 516-776-8062 Fax: 888-608-7845
Mrs. Lisamarie Lapoma, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Hewlett Ave, Merrick, NY 11566 Phone: 516-379-4900

Ms Kala Jessy Mathew, AGACNP-BC - Medicare Nurse Practitioner in Merrick, NY