Rachelle Derosena, WHNP-BC in Plainview, NY - Medicare Nurse Practitioner

Rachelle Derosena, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Plainview, New York. Her current practice location is 131 E Ames Ct, Plainview, New York. You can reach out to her office (for appointments etc.) via phone at (516) 414-6900.

Rachelle Derosena is licensed to practice in New York (license number 421413) 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 1114560646.

Contact Information

	Rachelle Derosena, WHNP-BC
	131 E Ames Ct, Plainview, NY 11803-2317
	(516) 414-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachelle Derosena
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	131 E Ames Ct, Plainview, 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: 1114560646
Provider Enumeration Date: 10/28/2019
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 7315340940
Enrollment ID: I20210720003326

Medical Identifiers

Medical identifiers for Rachelle Derosena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114560646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	421413 (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. Rachelle Derosena allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Rachelle Derosena 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
Rachelle Derosena, WHNP-BC 1443 Magnolia Way, Carol Stream, IL 60188-3366 Ph: (630) 253-5223	Rachelle Derosena, WHNP-BC 131 E Ames Ct, Plainview, NY 11803-2317 Ph: (516) 414-6900

Reviews and Comments

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Rachelle Derosena, WHNP-BC - Medicare Nurse Practitioner in Plainview, NY