Reggie Donald Valdemar, PHMNP in Ronkonkoma, NY

Reggie Donald Valdemar, PHMNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ronkonkoma, New York. His current practice location is 153 Lake Shore Rd, Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at (111) 111-1111.

Reggie Donald Valdemar is licensed to practice in New York (license number 404034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285374660.

Contact Information

	Reggie Donald Valdemar, PHMNP
	153 Lake Shore Rd, Ronkonkoma, NY 11779-3157
	(111) 111-1111
	Not Available

Map and Direction

Provider's Profile

Full Name	Reggie Donald Valdemar
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	153 Lake Shore Rd, Ronkonkoma, 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: 1285374660
Provider Enumeration Date: 03/31/2022
Last Update Date: 12/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0042689515
Enrollment ID: I20221206002106

Medical Identifiers

Medical identifiers for Reggie Donald Valdemar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285374660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404034 (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. Reggie Donald Valdemar allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Houses Of Long Island Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174691281 PECOS PAC ID: 4880584101 Enrollment ID: O20040318001240

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. Reggie Donald Valdemar 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
Reggie Donald Valdemar, PHMNP 7 Oak Park Ct, Deer Park, NY 11729-5607 Ph: (631) 565-3480	Reggie Donald Valdemar, PHMNP 153 Lake Shore Rd, Ronkonkoma, NY 11779-3157 Ph: (111) 111-1111

Reviews and Comments

Nurse Practitioner Nurses in Ronkonkoma, NY

Mr. Peter L Mermelstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Veterans Memorial Hwy, Ste C, Ronkonkoma, NY 11779 Phone: 631-676-7656 Fax: 631-676-7648
Reema I Crews, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 382 Rosevale Ave, Ronkonkoma, NY 11779 Phone: 631-667-0388
Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Peconic St, 92a, Ronkonkoma, NY 11779 Phone: 631-833-0696 Fax: 206-350-1094
Ms. Rosemary P Luke, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 939 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-852-1440 Fax: 631-852-1448
Ashley Nicole Goba, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 University Dr, Ronkonkoma, NY 11779 Phone: 516-456-6538
Ms. Carinne Nicole Cardona, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076

Reggie Donald Valdemar, PHMNP - Medicare Nurse Practitioner in Ronkonkoma, NY