Walettra Charmese Enoch, NP in New York, NY - Medicare Nurse Practitioner

Walettra Charmese Enoch, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in New York, New York. Her current practice location is 156 William St Rm 303, New York, New York. You can reach out to her office (for appointments etc.) via phone at (888) 803-3370.

Walettra Charmese Enoch is licensed to practice in Pennsylvania (license number SP019360) 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 1669941027.

Contact Information

	Walettra Charmese Enoch, NP
	156 William St Rm 303, New York, NY 10038-5307
	(888) 803-3370
	Not Available

Map and Direction

Provider's Profile

Full Name	Walettra Charmese Enoch
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	156 William St Rm 303, New York, 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: 1669941027
Provider Enumeration Date: 11/15/2018
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 2365875341
Enrollment ID: I20191205000197

Medical Identifiers

Medical identifiers for Walettra Charmese Enoch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669941027	NPI	-	NPPES
1912199415	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	LP0010478 (Delaware)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	310872 (New York)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP019360 (Pennsylvania)	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. Walettra Charmese Enoch allows following entities to bill medicare on her behalf.

Entity Name	Visavis Health Care Medical Group Of Pennsylvania Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619688132 PECOS PAC ID: 6305218850 Enrollment ID: O20230209000021

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. Walettra Charmese Enoch 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
Walettra Charmese Enoch, NP 7507 Society Dr, Claymont, DE 19703-1775 Ph: (215) 397-7104	Walettra Charmese Enoch, NP 156 William St Rm 303, New York, NY 10038-5307 Ph: (888) 803-3370

Reviews and Comments

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Walettra Charmese Enoch, NP - Medicare Nurse Practitioner in New York, NY