Mrs Suheily Tise, in New York, NY - Medicare Nurse Practitioner

Mrs Suheily Tise, is a medicare enrolled "Registered Nurse - Maternal Newborn" in New York, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Excelcare Medical Associates Pa and her current practice location is 210 Central Park S, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 319-5535.

Mrs Suheily Tise is licensed to practice in New York (license number 607189) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164874566.

Contact Information

	Mrs Suheily Tise,
	210 Central Park S, New York, NY 10019-1428
	(212) 319-5535
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Suheily Tise
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	210 Central Park S, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Suheily Tise graduated from nursing school in 2016

NPI Data:

NPI Number: 1164874566
Provider Enumeration Date: 07/08/2016
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3577975952
Enrollment ID: I20201208002181

Medical Identifiers

Medical identifiers for Mrs Suheily Tise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164874566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0102X	Registered Nurse - Maternal Newborn	607189 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Name Medical Center	Teaneck, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Excelcare Medical Associates Pa	4284647868	176

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. Mrs Suheily Tise allows following entities to bill medicare on her behalf.

Entity Name	Excelcare Medical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992736300 PECOS PAC ID: 4284647868 Enrollment ID: O20060727000044

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. Mrs Suheily Tise 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
Mrs Suheily Tise, 210 Central Park S, New York, NY 10019-1428 Ph: (212) 319-5535	Mrs Suheily Tise, 210 Central Park S, New York, NY 10019-1428 Ph: (212) 319-5535

Reviews and Comments

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Mrs Suheily Tise, - Medicare Nurse Practitioner in New York, NY