Jennifer L Defazio, MD is a medicare enrolled "Dermatology" physician in Hauppauge, New York. She went to State University Of New York At Buffalo School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Memorial Sloan-kettering Cancer Center Suffolk At Hauppauge and her current practice location is
800 Veterans Hwy, Hauppauge, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 227-3275.
Jennifer L Defazio is licensed to practice in New York (license number 240844) 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 1255443925.
Physician's Profile
Full Name | Jennifer L Defazio |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 22 Years |
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Location | 800 Veterans Hwy, Hauppauge, New York |
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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:
- Jennifer L Defazio attended and graduated from State University Of New York At Buffalo School Of Medicine in 2002
NPI Data:
- NPI Number: 1255443925
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507862331
- Enrollment ID: I20061018000253
Medical Identifiers
Medical identifiers for Jennifer L Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255443925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 240844 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memorial Sloan-kettering Cancer Center Suffolk At Hauppauge | 1951292408 | 8 |
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. Jennifer L Defazio allows following entities to bill medicare on her behalf.
Entity Name | Memorial Sloan-kettering Cancer Center Suffolk At Hauppauge |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669443123 PECOS PAC ID: 1951292408 Enrollment ID: O20040323001384 |
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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. Jennifer L Defazio 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 |
Jennifer L Defazio, MD 633 3rd Ave, Box 3, New York, NY 10017-6706 Ph: () - | Jennifer L Defazio, MD 800 Veterans Hwy, Hauppauge, NY 11788-2948 Ph: (646) 227-3275 |
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