Dr Donna Jc Fanelli, DNP in New York, NY - Medicare Nurse Practitioner

Dr Donna Jc Fanelli, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. Her current practice location is 120 Park Ave, Lower Level C, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 324-9461.

Dr Donna Jc Fanelli is licensed to practice in New York (license number F303208-1) 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 1750362679.

Contact Information

	Dr Donna Jc Fanelli, DNP
	120 Park Ave, Lower Level C, New York, NY 10017-5577
	(646) 324-9461
	(646) 324-1020

Map and Direction

Provider's Profile

Full Name	Dr Donna Jc Fanelli
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	120 Park Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750362679
Provider Enumeration Date: 11/08/2005
Last Update Date: 12/02/2019

Medicare PECOS Information:

PECOS PAC ID: 0648232488
Enrollment ID: I20130507000318

Medical Identifiers

Medical identifiers for Dr Donna Jc Fanelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750362679	NPI	-	NPPES
3598174	Other	NJ	OXFORD
2K9125	Other	NJ	HEALTH NET
286989	Other	NJ	AMERIGROUP
0067199	Medicaid	NJ
123	Other	NJ	CIGNA
2517320	Other	NJ	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	26NN06605500 (New Jersey)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	F430118-1 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	26NN06605500 (New Jersey)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	F303208-1 (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. Dr Donna Jc Fanelli allows following entities to bill medicare on her behalf.

Entity Name	Advantagecare Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446

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 Donna Jc Fanelli 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 Donna Jc Fanelli, DNP Advantagecare Physicians, Pc, 55 Water Street 2nd Floor Cred Dept, New York, NY 10041-0004 Ph: (646) 680-2888	Dr Donna Jc Fanelli, DNP 120 Park Ave, Lower Level C, New York, NY 10017-5577 Ph: (646) 324-9461

Reviews and Comments

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Dr Donna Jc Fanelli, DNP - Medicare Nurse Practitioner in New York, NY