Dr Jessica Malena Carbajal Caceda, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Setauket, New York. Her current practice location is
46 Route 25a Ste 4, Setauket, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 371-4844.
Dr Jessica Malena Carbajal Caceda is licensed to practice in New York (license number 290347) 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 1336479823.
Physician's Profile
Full Name | Dr Jessica Malena Carbajal Caceda |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 46 Route 25a Ste 4, Setauket, 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: 1336479823
- Provider Enumeration Date: 01/05/2010
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395979165
- Enrollment ID: I20171024001460
Medical Identifiers
Medical identifiers for Dr Jessica Malena Carbajal Caceda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336479823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E-8027 (Arkansas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 290347 (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. Dr Jessica Malena Carbajal Caceda allows following entities to bill medicare on her behalf.
Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
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Entity Name | The Long Island Home |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
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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. Dr Jessica Malena Carbajal Caceda 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 |
Dr Jessica Malena Carbajal Caceda, MD 46 Route 25a Ste 4, Setauket, NY 11733-2806 Ph: (631) 371-4844 | Dr Jessica Malena Carbajal Caceda, MD 46 Route 25a Ste 4, Setauket, NY 11733-2806 Ph: (631) 371-4844 |
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