Mrs Keisha A Ballentine-cargill, FNP-BC in Bronx, NY

Mrs Keisha A Ballentine-cargill, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 841 Burke Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 654-1726.

Mrs Keisha A Ballentine-cargill is licensed to practice in New York (license number F338198-1) 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 1003235284.

Contact Information

	Mrs Keisha A Ballentine-cargill, FNP-BC
	841 Burke Ave, Bronx, NY 10467-6619
	(718) 654-1726
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Keisha A Ballentine-cargill
Gender	Female
Speciality	Nurse Practitioner - Family
Location	841 Burke Ave, Bronx, 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: 1003235284
Provider Enumeration Date: 04/15/2014
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1456575083
Enrollment ID: I20140620001292

Medical Identifiers

Medical identifiers for Mrs Keisha A Ballentine-cargill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003235284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F338198-1 (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. Mrs Keisha A Ballentine-cargill allows following entities to bill medicare on her behalf.

Entity Name	Weill Medical College Of Cornell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661

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. Mrs Keisha A Ballentine-cargill 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
Mrs Keisha A Ballentine-cargill, FNP-BC 1054 E 231st St, Bronx, NY 10466-4806 Ph: (718) 652-6791	Mrs Keisha A Ballentine-cargill, FNP-BC 841 Burke Ave, Bronx, NY 10467-6619 Ph: (718) 654-1726

Reviews and Comments

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Mrs Keisha A Ballentine-cargill, FNP-BC - Medicare Nurse Practitioner in Bronx, NY