Jaclyn Mae Chotowicky, in Riverhead, NY - Medicare Nurse Practitioner

Jaclyn Mae Chotowicky, is a medicare enrolled "Nurse Practitioner - Acute Care" in Riverhead, New York. Her current practice location is 1300 Roanoke Ave, Riverhead, New York. You can reach out to her office (for appointments etc.) via phone at (516) 661-1721.

Jaclyn Mae Chotowicky is licensed to practice in New York (license number 432092) 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 1104591437.

Contact Information

	Jaclyn Mae Chotowicky,
	1300 Roanoke Ave, Riverhead, NY 11901-2031
	(516) 661-1721
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Mae Chotowicky
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1300 Roanoke Ave, Riverhead, 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: 1104591437
Provider Enumeration Date: 08/10/2021
Last Update Date: 09/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3779949292
Enrollment ID: I20230525000657

Medical Identifiers

Medical identifiers for Jaclyn Mae Chotowicky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104591437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	432092 (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. Jaclyn Mae Chotowicky allows following entities to bill medicare on her behalf.

Entity Name	Central Suffolk Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043402050 PECOS PAC ID: 4981508082 Enrollment ID: O20031120000840

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Jaclyn Mae Chotowicky 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
Jaclyn Mae Chotowicky, Po Box 3501, New Hyde Park, NY 11040-7501 Ph: (516) 661-1721	Jaclyn Mae Chotowicky, 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (516) 661-1721

Reviews and Comments

Nurse Practitioner Nurses in Riverhead, NY

Mrs. Annmarie Butler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 729 Roanoke Ave, Riverhead, NY 11901 Phone: 631-245-5000
Lashanta Kang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 448 Griffing Ave, Riverhead, NY 11901 Phone: 631-909-8030
Kristin Sweezy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1267 E Main St Ste A, Riverhead, NY 11901 Phone: 631-259-3290 Fax: 631-651-4925
Mrs. Courtney Davila, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-7773 Fax: 631-727-7832
Amy B Bailey, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6207
Mrs. Nicole Marie Marky, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Main Rd, Riverhead, NY 11901 Phone: 631-722-4400

Jaclyn Mae Chotowicky, - Medicare Nurse Practitioner in Riverhead, NY