Mrs Jessy Samuel, FNP in Paterson, NJ - Medicare Nurse Practitioner

Mrs Jessy Samuel, FNP is a medicare enrolled "Nurse Practitioner - Family" in Paterson, New Jersey. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John V Kelly Md Pc and her current practice location is 703 Main St, Paterson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 754-2000.

Mrs Jessy Samuel is licensed to practice in New Jersey (license number 26NJ01027200) 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 1154940450.

Contact Information

	Mrs Jessy Samuel, FNP
	703 Main St, Paterson, NJ 07503-2621
	(973) 754-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessy Samuel
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	703 Main St, Paterson, New Jersey
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:

Mrs Jessy Samuel graduated from nursing school in 2019

NPI Data:

NPI Number: 1154940450
Provider Enumeration Date: 04/16/2020
Last Update Date: 04/16/2020

Medicare PECOS Information:

PECOS PAC ID: 1052728359
Enrollment ID: I20210405000610

Medical Identifiers

Medical identifiers for Mrs Jessy Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154940450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01027200 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John V Kelly Md Pc	9638106891	4

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. Mrs Jessy Samuel allows following entities to bill medicare on her behalf.

Entity Name	John V Kelly Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417065830 PECOS PAC ID: 9638106891 Enrollment ID: O20050722000051

Entity Name	Oak Tree Healthcare Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083368674 PECOS PAC ID: 0941695860 Enrollment ID: O20220311000654

Entity Name	Next Door Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356087183 PECOS PAC ID: 0648657072 Enrollment ID: O20220524001510

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. Mrs Jessy Samuel 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
Mrs Jessy Samuel, FNP 242 Lakewood Dr, Bloomfield, NJ 07003-3720 Ph: (973) 820-8428	Mrs Jessy Samuel, FNP 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2000

Reviews and Comments

Nurse Practitioner Nurses in Paterson, NJ

Susan Mugalu, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-0000
Diane E Mcclure, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567
Cynthia Dayrit -demetillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Main St, Paterson, NJ 07503 Phone: 973-782-6615 Fax: 973-782-6618
Mrs. Kathleen Ann Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 393 Main St, Paterson, NJ 07501 Phone: 973-523-6220 Fax: 973-825-7201
Mr. Michael Pasquale, MSN, RN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3857
Nidia Ortega, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Park Ave, Paterson, NJ 07504 Phone: 973-684-8138 Fax: 973-684-0032
Kassidy Katona, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway Ste 104, Paterson, NJ 07514 Phone: 973-239-9400

Mrs Jessy Samuel, FNP - Medicare Nurse Practitioner in Paterson, NJ