Sophia Staley, in Flushing, NY - Medicare Nurse Practitioner

Sophia Staley, is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Flushing, New York. Her current practice location is 6716 Parsons Blvd Apt 6c, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 591-5308.

Sophia Staley is licensed to practice in New York (license number F432146-01) 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 1205507597.

Contact Information

	Sophia Staley,
	6716 Parsons Blvd Apt 6c, Flushing, NY 11365-2958
	(718) 591-5308
	Not Available

Map and Direction

Provider's Profile

Full Name	Sophia Staley
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	6716 Parsons Blvd Apt 6c, Flushing, 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: 1205507597
Provider Enumeration Date: 09/26/2021
Last Update Date: 09/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4284007931
Enrollment ID: I20230301000293

Medical Identifiers

Medical identifiers for Sophia Staley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205507597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	F432146-01 (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. Sophia Staley allows following entities to bill medicare on her behalf.

Entity Name	True Health Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689271868 PECOS PAC ID: 3577975168 Enrollment ID: O20201228000379

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. Sophia Staley 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
Sophia Staley, 6716 Parsons Blvd Apt 6c, Flushing, NY 11365-2958 Ph: () -	Sophia Staley, 6716 Parsons Blvd Apt 6c, Flushing, NY 11365-2958 Ph: (718) 591-5308

Reviews and Comments

Nurse Practitioner Nurses in Flushing, NY

Peter Jaesung Jo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 917-340-4637
Yangyang Hu, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13107 40th Rd, Flushing, NY 11354 Phone: 718-888-9183 Fax: 718-888-1751
Angelina Yushuvayev, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14703 77th Rd, Flushing, NY 11367 Phone: 917-859-3721
Chunying Shao, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 Union St Ste 6b, Flushing, NY 11354 Phone: 718-888-1125
Esther Hyunhee Lim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2388
Ms. Tanya K. Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3515 Parsons Blvd, Flushing, NY 11354 Phone: 718-961-3500
Linda Hosford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2627 Fax: 516-437-4167

Sophia Staley, - Medicare Nurse Practitioner in Flushing, NY