Iris Massiel Marcelin, NP is a medicare enrolled "Nurse Practitioner - Family" in Irvington, New York. Her current practice location is
100 N Broadway, Irvington, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 785-0034.
Iris Massiel Marcelin is licensed to practice in New York (license number 346796) 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 1063013258.
Provider's Profile
| Full Name | Iris Massiel Marcelin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 100 N Broadway, Irvington, 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. |
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NPI Data:
- NPI Number: 1063013258
- Provider Enumeration Date: 11/04/2020
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294177267
- Enrollment ID: I20240522000743
Medical Identifiers
Medical identifiers for Iris Massiel Marcelin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063013258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F406304 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 346796 (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. Iris Massiel Marcelin allows following entities to bill medicare on her behalf.
| Entity Name | Urban Family Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164594099
PECOS PAC ID: 7517935059
Enrollment ID: O20040922000333 |
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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. Iris Massiel Marcelin 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 |
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Iris Massiel Marcelin, NP
418 Broadway Ste R,
Albany, NY 12207-2922
Ph: (646) 785-0034 | Iris Massiel Marcelin, NP
100 N Broadway,
Irvington, NY 10533-1254
Ph: (646) 785-0034 |
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