Yasmin Naida Shafique Ventura, is a medicare enrolled "Occupational Therapist" provider in Lake Ronkonkoma, New York. Her current practice location is
595 Portion Rd Ste D, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 759-5789.
Yasmin Naida Shafique Ventura is licensed to practice in New York (license number 029661-01) 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 1093539413.
Healthcare Provider's Profile
Full Name | Yasmin Naida Shafique Ventura |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 595 Portion Rd Ste D, Lake Ronkonkoma, 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. |
NPI Data:
- NPI Number: 1093539413
- Provider Enumeration Date: 11/12/2024
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618403734
- Enrollment ID: I20241211004233
Medical Identifiers
Medical identifiers for Yasmin Naida Shafique Ventura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093539413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 029661-01 (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. Yasmin Naida Shafique Ventura allows following entities to bill medicare on her behalf.
Provider Name | Metro Physical Occupational And Speech Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356742365 PECOS PAC ID: 1254553639 Enrollment ID: O20141120000039 |
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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. Yasmin Naida Shafique Ventura 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 |
Yasmin Naida Shafique Ventura, 14 2nd Ave, Westbury, NY 11590-2518 Ph: (516) 312-0178 | Yasmin Naida Shafique Ventura, 595 Portion Rd Ste D, Lake Ronkonkoma, NY 11779-4599 Ph: (631) 759-5789 |
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