Octavia Perry, FNP-C - Medicare Nurse Practitioner in Nyack, NY

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Octavia Perry, FNP-C is a medicare enrolled "Nurse Practitioner" in Nyack, New York. Her current practice location is 160 N Midland Ave, Nyack, New York. You can reach out to her office (for appointments etc.) via phone at (845) 348-2000.

Octavia Perry is licensed to practice in South Carolina (license number 21238) 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 1568931962.

Contact Information

Octavia Perry, FNP-C
160 N Midland Ave,
Nyack, NY 10960-1912
(845) 348-2000
Not Available

Map and Direction




Provider's Profile

Full NameOctavia Perry
GenderFemale
SpecialityNurse Practitioner
Location160 N Midland Ave, Nyack, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568931962
  • Provider Enumeration Date: 11/15/2018
  • Last Update Date: 09/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6800124884
  • Enrollment ID: I20190829001004

Medical Identifiers

Medical identifiers for Octavia Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568931962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024175789 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 344839 (New York)Secondary
363L00000XNurse Practitioner 21238 (South Carolina)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. Octavia Perry allows following entities to bill medicare on her behalf.
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameSound Physicians Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174962245
PECOS PAC ID: 8628202231
Enrollment ID: O20131015001809
Entity NameHospitalist Medicine Physician Of New York - Nyack Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083193262
PECOS PAC ID: 4486987302
Enrollment ID: O20190610000122
Entity NameHospitalist Medicine Physicians Of New York - Patchogue Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366920993
PECOS PAC ID: 6406183821
Enrollment ID: O20190808000333

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. Octavia Perry 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
Octavia Perry, FNP-C
454 Avalon Gardens Dr,
Nanuet, NY 10954-7434

Ph: (803) 917-4815		Octavia Perry, FNP-C
160 N Midland Ave,
Nyack, NY 10960-1912

Ph: (845) 348-2000

Reviews and Comments


Nurse Practitioner Nurses in Nyack, NY

Ms. Deborah Telem, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 258 High Ave, Nyack, NY 10960
Phone: 845-353-1441    Fax: 845-353-1987
Ms. Rochelle Paula Kepes, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 302 Piermont Ave, Apt 1-d, Nyack, NY 10960
Phone: 845-353-8284    
Mona Perez, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960
Phone: 845-348-2345    Fax: 973-251-1109
Ashley Carr Lewinn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7 N Broadway, Nyack, NY 10960
Phone: 917-590-3727    
Dr. Mellen Lovrin, DRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 85 N Broadway, Nyack, NY 10960
Phone: 845-353-6780    Fax: 845-353-6780
Heidi Brenner,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 258 High Ave, Nyack, NY 10960
Phone: 845-353-1441    Fax: 845-353-1987
Jennifer Ann Wagner, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 255 Fifth Avenue, Nyack, NY 10960
Phone: 845-362-1750    Fax: 845-362-1577

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.