Katherine Rosangela Quezada, in Port Jefferson, NY

Katherine Rosangela Quezada, is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Jefferson, New York. Her current practice location is 625 Belle Terre Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 473-1320.

Katherine Rosangela Quezada is licensed to practice in New York (license number 309278) 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 1952940942.

Contact Information

	Katherine Rosangela Quezada,
	625 Belle Terre Rd, Port Jefferson, NY 11777-2316
	(631) 473-1320
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Rosangela Quezada
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	625 Belle Terre Rd, Port Jefferson, 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: 1952940942
Provider Enumeration Date: 12/23/2019
Last Update Date: 12/23/2019

Medicare PECOS Information:

PECOS PAC ID: 4789004979
Enrollment ID: I20201008001415

Medical Identifiers

Medical identifiers for Katherine Rosangela Quezada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952940942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309278 (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. Katherine Rosangela Quezada allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

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. Katherine Rosangela Quezada 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
Katherine Rosangela Quezada, 10 Biscayne Dr, Selden, NY 11784-1011 Ph: (631) 481-5257	Katherine Rosangela Quezada, 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 Ph: (631) 473-1320

Reviews and Comments

Nurse Practitioner Nurses in Port Jefferson, NY

Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999
Katlyn Ann Conville, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2565
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786
Ms. Christine Julia Mckeon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777 Phone: 631-473-3877
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586
Genine Schwinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653

Katherine Rosangela Quezada, - Medicare Nurse Practitioner in Port Jefferson, NY