Mr Mark A Ricketts, PMHNP - Medicare Nurse Practitioner in West Babylon, NY

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Mr Mark A Ricketts, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Babylon, New York. His current practice location is 1565 Herzel Blvd, West Babylon, New York. You can reach out to his office (for appointments etc.) via phone at (646) 649-6840.

Mr Mark A Ricketts is licensed to practice in New York (license number F404433) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801132782.

Contact Information

Mr Mark A Ricketts, PMHNP
1565 Herzel Blvd,
West Babylon, NY 11704-4234
(646) 649-6840
Not Available

Map and Direction




Provider's Profile

Full NameMr Mark A Ricketts
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1565 Herzel Blvd, West Babylon, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801132782
  • Provider Enumeration Date: 12/20/2012
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971974734
  • Enrollment ID: I20230116000080

Medical Identifiers

Medical identifiers for Mr Mark A Ricketts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801132782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F404433 (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. Mr Mark A Ricketts allows following entities to bill medicare on his behalf.
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619245610
PECOS PAC ID: 4082518006
Enrollment ID: O20040210000431

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. Mr Mark A Ricketts 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
Mr Mark A Ricketts, PMHNP
1565 Herzel Blvd,
West Babylon, NY 11704-4234

Ph: (646) 649-6840		Mr Mark A Ricketts, PMHNP
1565 Herzel Blvd,
West Babylon, NY 11704-4234

Ph: (646) 649-6840

Reviews and Comments


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Phone: 631-422-3377    Fax: 631-422-3382
Amy Eimer, FNP-C
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Mr. Rowan Lindsay, PMHNP
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Lauren Misuraca, FNP
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Practice Location: 900 Straight Path, West Babylon, NY 11704
Phone: 631-957-0066    

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.