Samantha Diaz-hennessey, DNP in New York, NY - Medicare Nurse Practitioner

Samantha Diaz-hennessey, DNP is a medicare enrolled "Nurse Practitioner" in New York, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Avenue Medical Professionals and her current practice location is 120 E 86th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 427-2000.

Samantha Diaz-hennessey is licensed to practice in New York (license number 343083) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1265927404.

Contact Information

	Samantha Diaz-hennessey, DNP
	120 E 86th St, New York, NY 10028
	(212) 427-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Diaz-hennessey
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	120 E 86th St, New York, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Diaz-hennessey graduated from nursing school in 2018

NPI Data:

NPI Number: 1265927404
Provider Enumeration Date: 06/29/2018
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1658612866
Enrollment ID: I20190416000694

Medical Identifiers

Medical identifiers for Samantha Diaz-hennessey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265927404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	343083 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Avenue Medical Professionals	5698753424	5

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. Samantha Diaz-hennessey allows following entities to bill medicare on her behalf.

Entity Name	Park Avenue Medical Professionals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023044161 PECOS PAC ID: 5698753424 Enrollment ID: O20040709000059

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. Samantha Diaz-hennessey 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
Samantha Diaz-hennessey, DNP 120 E 86th St, New York, NY 10028-1062 Ph: (203) 520-8828	Samantha Diaz-hennessey, DNP 120 E 86th St, New York, NY 10028 Ph: (212) 427-2000

Reviews and Comments

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Samantha Diaz-hennessey, DNP - Medicare Nurse Practitioner in New York, NY