Ms Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE - Medicare Nurse Practitioner in Staten Island, NY

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Ms Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE is a medicare enrolled "Nurse Practitioner - Adult Health" in Staten Island, New York. Her current practice location is 79 Cottage Pl, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 816-8423.

Ms Theodora Montell Cross is licensed to practice in New York (license number F304508) 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 1972751691.

Contact Information

Ms Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE
79 Cottage Pl,
Staten Island, NY 10302-1522
(718) 816-8423
(718) 816-5024

Map and Direction




Provider's Profile

Full NameMs Theodora Montell Cross
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location79 Cottage Pl, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972751691
  • Provider Enumeration Date: 09/05/2008
  • Last Update Date: 09/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5092864678
  • Enrollment ID: I20090602000043

Medical Identifiers

Medical identifiers for Ms Theodora Montell Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972751691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F304508 (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 Theodora Montell Cross allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Np In Family Health And Adult Health Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194975524
PECOS PAC ID: 7911069638
Enrollment ID: O20081218000053

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 Theodora Montell Cross 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 Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE
79 Cottage Pl,
Staten Island, NY 10302-1522

Ph: (718) 816-8423		Ms Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE
79 Cottage Pl,
Staten Island, NY 10302-1522

Ph: (718) 816-8423

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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