Jacqueline P D Pape, FNP in Stony Brook, NY - Medicare Nurse Practitioner

Jacqueline P D Pape, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stony Brook, New York. Her current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 689-8333.

Jacqueline P D Pape is licensed to practice in New York (license number 340896) 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 1114374709.

Contact Information

	Jacqueline P D Pape, FNP
	101 Nicolls Rd, Stony Brook, NY 11794-3045
	(631) 689-8333
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline P D Pape
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Nicolls Rd, Stony Brook, 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: 1114374709
Provider Enumeration Date: 05/24/2016
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2567741689
Enrollment ID: I20161114000884

Medical Identifiers

Medical identifiers for Jacqueline P D Pape such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114374709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	340896 (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. Jacqueline P D Pape allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Children's Service, University Faculty Practice Corporatio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822

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. Jacqueline P D Pape 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
Jacqueline P D Pape, FNP 15 Alma Ln, East Northport, NY 11731-3708 Ph: () -	Jacqueline P D Pape, FNP 101 Nicolls Rd, Stony Brook, NY 11794-3045 Ph: (631) 689-8333

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Jacqueline P D Pape, FNP - Medicare Nurse Practitioner in Stony Brook, NY