Takeisha Judkins, NURSE PRACTITIONER - Medicare Nurse Practitioner in Jamaica, NY

Takeisha Judkins, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Jamaica, New York. Her current practice location is 17301 141rd Rd, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at (718) 522-0832.

Takeisha Judkins is licensed to practice in New York (license number 348062) 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 1891066429.

Contact Information

Takeisha Judkins, NURSE PRACTITIONER
17301 141rd Rd,
Jamaica, NY 11434-4620
(718) 522-0832
Not Available

Map and Direction




Provider's Profile

Full NameTakeisha Judkins
GenderFemale
SpecialityNurse Practitioner - Family
Location17301 141rd Rd, Jamaica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891066429
  • Provider Enumeration Date: 01/12/2012
  • Last Update Date: 08/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305234964
  • Enrollment ID: I20211101001801

Medical Identifiers

Medical identifiers for Takeisha Judkins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891066429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 672632 (New York)Secondary
363LF0000XNurse Practitioner - Family 348062 (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. Takeisha Judkins allows following entities to bill medicare on her behalf.
Entity NameExcel Urgent Care Of Wantagh Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184067936
PECOS PAC ID: 9234364027
Enrollment ID: O20131104000254
Entity NameExpress Medical Care Management Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851784318
PECOS PAC ID: 6406160225
Enrollment ID: O20150806010731
Entity NameDivinity Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362
Entity NameIsland Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376991414
PECOS PAC ID: 1355636440
Enrollment ID: O20160829002087
Entity NameSparkle Care Family Health Np Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831892462
PECOS PAC ID: 2264878198
Enrollment ID: O20240313002547

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. Takeisha Judkins 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
Takeisha Judkins, NURSE PRACTITIONER
17301 141rd Rd,
Jamaica, NY 11434-4620

Ph: (718) 522-0832
Takeisha Judkins, NURSE PRACTITIONER
17301 141rd Rd,
Jamaica, NY 11434-4620

Ph: (718) 522-0832

Reviews and Comments


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Phone: 718-206-6000    Fax: 718-206-6915

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.