Siji Varghese, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Brentwood, New York. Her current practice location is
998 Crooked Hill Rd, West Brentwood, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 761-3500.
Siji Varghese is licensed to practice in New York (license number 401969) 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 1730540642.
Provider's Profile
| Full Name | Siji Varghese |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 998 Crooked Hill Rd, West Brentwood, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730540642
- Provider Enumeration Date: 03/19/2016
- Last Update Date: 11/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 2163702218
- Enrollment ID: I20161206001807
Medical Identifiers
Medical identifiers for Siji Varghese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730540642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401969 (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. Siji Varghese allows following entities to bill medicare on her behalf.
| Entity Name | The Long Island Home |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1821394016
PECOS PAC ID: 8224055108
Enrollment ID: O20110411000230 |
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| Entity Name | Nys Office Of Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578627485
PECOS PAC ID: 3072782432
Enrollment ID: O20110802000194 |
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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. Siji Varghese 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 |
|---|
Siji Varghese,
400 Sunrise Hwy,
Amityville, NY 11701-2508
Ph: () - | Siji Varghese,
998 Crooked Hill Rd,
West Brentwood, NY 11717-1019
Ph: (631) 761-3500 |
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