Theresa Marie Rispoli, BSN, CNM is a medicare enrolled "Advanced Practice Midwife" in New City, New York. Her current practice location is
510 Route 304, New City, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 634-8400.
Theresa Marie Rispoli is licensed to practice in Arizona (license number AP7899) 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 1871583385.
Provider's Profile
| Full Name | Theresa Marie Rispoli |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 510 Route 304, New City, 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: 1871583385
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 11/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648442723
- Enrollment ID: I20221216000487
Medical Identifiers
Medical identifiers for Theresa Marie Rispoli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871583385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 0024162588 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP7899 (Arizona) | 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. Theresa Marie Rispoli allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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| Entity Name | White Plains Medical Diagnostic Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689955338
PECOS PAC ID: 5395918932
Enrollment ID: O20111027000238 |
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| Entity Name | Montefiore Nyack Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073881835
PECOS PAC ID: 2668485046
Enrollment ID: O20120216000200 |
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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. Theresa Marie Rispoli 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 |
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Theresa Marie Rispoli, BSN, CNM
1406 Warrens Way,
Wanaque, NJ 07465-1679
Ph: (703) 727-4520 | Theresa Marie Rispoli, BSN, CNM
510 Route 304,
New City, NY 10956-3041
Ph: (845) 634-8400 |
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