Dr Evan Douglas Federici, PMHNP-BC in Eatontown, NJ

Dr Evan Douglas Federici, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eatontown, New Jersey. His current practice location is 615 Hope Rd Ste 3b, Eatontown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 724-1234.

Dr Evan Douglas Federici is licensed to practice in New Jersey (license number 26NJ15110100) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598595159.

Contact Information

	Dr Evan Douglas Federici, PMHNP-BC
	615 Hope Rd Ste 3b, Eatontown, NJ 07724-1273
	(732) 724-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Evan Douglas Federici
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	615 Hope Rd Ste 3b, Eatontown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598595159
Provider Enumeration Date: 08/07/2024
Last Update Date: 04/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0446781363
Enrollment ID: I20241003000064

Medical Identifiers

Medical identifiers for Dr Evan Douglas Federici such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598595159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NR20562100 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ15110100 (New Jersey)	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 Evan Douglas Federici allows following entities to bill medicare on his behalf.

Entity Name	Euthymia Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801556691 PECOS PAC ID: 6103219985 Enrollment ID: O20220201000560

Entity Name	Np Visits Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154094597 PECOS PAC ID: 5698162170 Enrollment ID: O20220502001871

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 Evan Douglas Federici 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 Evan Douglas Federici, PMHNP-BC 615 Hope Rd Ste 3b, Eatontown, NJ 07724-1273 Ph: (732) 724-1234	Dr Evan Douglas Federici, PMHNP-BC 615 Hope Rd Ste 3b, Eatontown, NJ 07724-1273 Ph: (732) 724-1234

Reviews and Comments

Nurse Practitioner Nurses in Eatontown, NJ

Victoria Pierce Camporini, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Industrial Way W Ste 101, Eatontown, NJ 07724 Phone: 732-945-6555
Nimmy Treeza, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Meridian Rd, Eatontown, NJ 07724 Phone: 732-935-1000
Joan Wamahiu, APN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd Ste 3b, Eatontown, NJ 07724 Phone: 732-724-1234
Elizabeth A. Birnie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd, Building 5, Eatontown, NJ 07724 Phone: 732-571-1000 Fax: 732-571-1156
Christine Kaminski, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64 Holly Dr, Eatontown, NJ 07724 Phone: 732-859-0754
Kimberly Tallia, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Route 35, Suite 103, Eatontown, NJ 07724 Phone: 732-389-5004 Fax: 732-389-1850
Kaitlin Rogers, DNP AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Meridian Rd, Eatontown, NJ 07724 Phone: 832-807-2051

Dr Evan Douglas Federici, PMHNP-BC - Medicare Nurse Practitioner in Eatontown, NJ