Shu-shanna Peta-gaye Dixon, NP - Medicare Nurse Practitioner in Teaneck, NJ

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Shu-shanna Peta-gaye Dixon, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Teaneck, New Jersey. Her current practice location is 718 Teaneck Rd, Teaneck, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 833-3000.

Shu-shanna Peta-gaye Dixon is licensed to practice in New Jersey (license number 26NJ01117100) 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 1265055230.

Contact Information

Shu-shanna Peta-gaye Dixon, NP
718 Teaneck Rd,
Teaneck, NJ 07666-4245
(201) 833-3000
Not Available

Map and Direction




Provider's Profile

Full NameShu-shanna Peta-gaye Dixon
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location718 Teaneck Rd, Teaneck, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265055230
  • Provider Enumeration Date: 05/25/2020
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193191633
  • Enrollment ID: I20221025000354

Medical Identifiers

Medical identifiers for Shu-shanna Peta-gaye Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265055230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 26NJ01117100 (New Jersey)Secondary
363LA2100XNurse Practitioner - Acute Care 26NJ01117100 (New Jersey)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. Shu-shanna Peta-gaye Dixon allows following entities to bill medicare on her behalf.
Entity NameHoly Name Pulmonary Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144484866
PECOS PAC ID: 2466514674
Enrollment ID: O20081223000234
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008

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. Shu-shanna Peta-gaye Dixon 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
Shu-shanna Peta-gaye Dixon, NP
3 University Plz Ste 205,
Hackensack, NJ 07601-6208

Ph: () -		Shu-shanna Peta-gaye Dixon, NP
718 Teaneck Rd,
Teaneck, NJ 07666-4245

Ph: (201) 833-3000

Reviews and Comments


Nurse Practitioner Nurses in Teaneck, NJ

Mrs. Virginia Azzariti, CPNP
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Practice Location: 870 Palisade Avenue, Suite 201, Teaneck, NJ 07666
Phone: 201-692-1661    Fax: 201-692-9219
Grace Oh,
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Practice Location: 579 Linden Ave, Teaneck, NJ 07666
Phone: 201-835-4660    
Angelo C Mabasa, DNP, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666
Phone: 201-530-7917    Fax: 212-305-8304
Dr. Phyllis A Tarallo, DNP,DCC,FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666
Phone: 212-305-0448    Fax: 212-342-5600
Lorna Dunkel,
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Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666
Phone: 201-833-3000    
Jessica Orlinsky,
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Practice Location: 586 Sunderland Road, Teaneck, NJ 07666
Phone: 347-374-0162    
Yael Ben Jacob, APRN, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666
Phone: 201-373-6453    

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.