Theresa Crafa, FNPC - Medicare Nurse Practitioner in E Setauket, NY

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Theresa Crafa, FNPC is a medicare enrolled "Nurse Practitioner" in E Setauket, New York. Her current practice location is 235 N Belle Mead Rd, E Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (631) 751-3000.

Theresa Crafa is licensed to practice in New York (license number F333674-1) 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 1811085921.

Contact Information

Theresa Crafa, FNPC
235 N Belle Mead Rd,
E Setauket, NY 11733-3456
(631) 751-3000
(631) 675-2001

Map and Direction




Provider's Profile

Full NameTheresa Crafa
GenderFemale
SpecialityNurse Practitioner
Location235 N Belle Mead Rd, E Setauket, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811085921
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 03/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3779640917
  • Enrollment ID: I20090316000339

Medical Identifiers

Medical identifiers for Theresa Crafa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811085921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F333674-1 (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. Theresa Crafa allows following entities to bill medicare on her behalf.
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766

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. Theresa Crafa 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
Theresa Crafa, FNPC
235 N Belle Mead Rd,
E Setauket, NY 11733-3456

Ph: (631) 751-3000		Theresa Crafa, FNPC
235 N Belle Mead Rd,
E Setauket, NY 11733-3456

Ph: (631) 751-3000

Reviews and Comments


Nurse Practitioner Nurses in E Setauket, NY

Kristina Demarco, ANPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733
Phone: 631-751-3000    Fax: 631-751-3366
Mary Ann Fragola, ANPC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733
Phone: 631-751-3000    Fax: 631-675-2001
Janet Badalamenti, ANPC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733
Phone: 631-751-3000    Fax: 631-751-3366

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.