Hayley Elizabeth Jacobsen, FNP in Amityville, NY

Hayley Elizabeth Jacobsen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Amityville, New York. Her current practice location is 43 Bayside Pl, Amityville, New York. You can reach out to her office (for appointments etc.) via phone at (631) 965-7449.

Hayley Elizabeth Jacobsen is licensed to practice in New York (license number 354047) 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 1629826680.

Contact Information

	Hayley Elizabeth Jacobsen, FNP
	43 Bayside Pl, Amityville, NY 11701-3901
	(631) 965-7449
	Not Available

Map and Direction

Provider's Profile

Full Name	Hayley Elizabeth Jacobsen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	43 Bayside Pl, Amityville, 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: 1629826680
Provider Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4587100565
Enrollment ID: I20240725004602

Medical Identifiers

Medical identifiers for Hayley Elizabeth Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629826680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	803089 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	354047 (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. Hayley Elizabeth Jacobsen allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248

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. Hayley Elizabeth Jacobsen 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
Hayley Elizabeth Jacobsen, FNP 43 Bayside Pl, Amityville, NY 11701-3901 Ph: (631) 965-7449	Hayley Elizabeth Jacobsen, FNP 43 Bayside Pl, Amityville, NY 11701-3901 Ph: (631) 965-7449

Reviews and Comments

Nurse Practitioner Nurses in Amityville, NY

Sophia Palmer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Poplar Rd, Amityville, NY 11701 Phone: 631-464-2889
Pamela Braglia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020 Fax: 631-789-5669
Maria Dolores Valdez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 The Blvd, Amityville, NY 11701 Phone: 631-245-3894
Barbara Farrell, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020
Ms. Tamara Gordon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Louden Ave, Amityville, NY 11701 Phone: 631-789-7805
Joseph P Saladino, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-264-4000 Fax: 631-264-5079
Sther Charlot, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 W Oak St, Amityville, NY 11701 Phone: 631-264-1800 Fax: 631-264-1813

Hayley Elizabeth Jacobsen, FNP - Medicare Nurse Practitioner in Amityville, NY