Jenna Angelo, NP is a medicare enrolled "Family Medicine" in New York, New York. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is
210 E 64th St Fl 3, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(724) 840-9149.
Jenna Angelo is licensed to practice in New York (license number 350444) 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 1356797880.
Provider's Profile
| Full Name | Jenna Angelo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 210 E 64th St Fl 3, New York, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jenna Angelo graduated from nursing school in 2022
NPI Data:
- NPI Number: 1356797880
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446622559
- Enrollment ID: I20230217000318
Medical Identifiers
Medical identifiers for Jenna Angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356797880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 722847 (New York) | Secondary |
| 207Q00000X | Family Medicine | 350444 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
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. Jenna Angelo allows following entities to bill medicare on her behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Jenna Angelo 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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Jenna Angelo, NP
210 E 64th St Fl 3,
New York, NY 10065-7471
Ph: (212) 434-6900 | Jenna Angelo, NP
210 E 64th St Fl 3,
New York, NY 10065-7471
Ph: (724) 840-9149 |
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