Jane M Prendergast, NP - Medicare Nurse Practitioner in Watertown, NY

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Jane M Prendergast, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Watertown, New York. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Upstate Cerebral Palsy Inc and her current practice location is 218 Stone St Fl 2, Community Clinic Of Jefferson County, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (315) 782-7445.

Jane M Prendergast is licensed to practice in New York (license number F400868) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346322450.

Contact Information

Jane M Prendergast, NP
218 Stone St Fl 2, Community Clinic Of Jefferson County,
Watertown, NY 13601-3211
(315) 782-7445
(315) 779-1184

Map and Direction




Provider's Profile

Full NameJane M Prendergast
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location218 Stone St Fl 2, Watertown, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jane M Prendergast graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1346322450
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 07/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0345289229
  • Enrollment ID: I20050429000451

Medical Identifiers

Medical identifiers for Jane M Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346322450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 303635 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F400868 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upstate Cerebral Palsy Inc549673475816

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. Jane M Prendergast allows following entities to bill medicare on her behalf.
Entity NameCortland County County Treasurer
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821001579
PECOS PAC ID: 3173427028
Enrollment ID: O20031121000523
Entity NameUpstate Cerebral Palsy Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780636506
PECOS PAC ID: 5496734758
Enrollment ID: O20040719001380
Entity NameUpstate Community Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644

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. Jane M Prendergast 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 AddressPractice Location Address
Jane M Prendergast, NP
338 Frenchs Bay Rd,
Tully, NY 13159-9440

Ph: (315) 317-6940		Jane M Prendergast, NP
218 Stone St Fl 2, Community Clinic Of Jefferson County,
Watertown, NY 13601-3211

Ph: (315) 782-7445

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.