Cassondra Irene Calandrillo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Kew Gardens Hills, New York. Her current practice location is
6701 136th St Unit A, Kew Gardens Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 972-8643.
Cassondra Irene Calandrillo is licensed to practice in New York (license number F431439-1) 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 1104395334.
Provider's Profile
| Full Name | Cassondra Irene Calandrillo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 6701 136th St Unit A, Kew Gardens Hills, 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: 1104395334
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 11/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123443413
- Enrollment ID: I20200804000825
Medical Identifiers
Medical identifiers for Cassondra Irene Calandrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104395334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | F431439-1 (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. Cassondra Irene Calandrillo allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Anesthesiology Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467423020 PECOS PAC ID: 8729977129 Enrollment ID: O20040313000040 |
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| Entity Name | Memorial Neurology Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538130190 PECOS PAC ID: 4688563000 Enrollment ID: O20040313000171 |
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| Entity Name | Mskcc Surgery Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
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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. Cassondra Irene Calandrillo 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 |
Cassondra Irene Calandrillo, NP 6701 136th St Unit A, Kew Gardens Hills, NY 11367-1623 Ph: (917) 972-8643 | Cassondra Irene Calandrillo, NP 6701 136th St Unit A, Kew Gardens Hills, NY 11367-1623 Ph: (917) 972-8643 |
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