Mr Kristian Devera Zacarias, FNP - Medicare Nurse Practitioner in Rockaway Park, NY

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Mr Kristian Devera Zacarias, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rockaway Park, New York. His current practice location is 11506 Beach Channel Dr Ste 101, Rockaway Park, New York. You can reach out to his office (for appointments etc.) via phone at (718) 474-7744.

Mr Kristian Devera Zacarias is licensed to practice in New York (license number 353630) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285490268.

Contact Information

Mr Kristian Devera Zacarias, FNP
11506 Beach Channel Dr Ste 101,
Rockaway Park, NY 11694-2113
(718) 474-7744
Not Available

Map and Direction




Provider's Profile

Full NameMr Kristian Devera Zacarias
GenderMale
SpecialityNurse Practitioner - Family
Location11506 Beach Channel Dr Ste 101, Rockaway Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285490268
  • Provider Enumeration Date: 02/26/2024
  • Last Update Date: 02/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608398680
  • Enrollment ID: I20250319002266

Medical Identifiers

Medical identifiers for Mr Kristian Devera Zacarias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285490268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 353630 (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. Mr Kristian Devera Zacarias allows following entities to bill medicare on his behalf.
Entity NameProminis Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841323771
PECOS PAC ID: 9537124441
Enrollment ID: O20041119000601

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. Mr Kristian Devera Zacarias 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
Mr Kristian Devera Zacarias, FNP
174 Maryland Ave,
Staten Island, NY 10305-3039

Ph: (646) 423-4602		Mr Kristian Devera Zacarias, FNP
11506 Beach Channel Dr Ste 101,
Rockaway Park, NY 11694-2113

Ph: (718) 474-7744

Reviews and Comments


Nurse Practitioner Nurses in Rockaway Park, NY

Ellen Brady,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 133 Beach 129th St, Rockaway Park, NY 11694
Phone: 718-208-8029    
Mrs. Nicole Frontera, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10402 Rockaway Beach Blvd, Rockaway Park, NY 11694
Phone: 718-945-1100    
Christopher Howard, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10402 Rockaway Beach Blvd, Rockaway Park, NY 11694
Phone: 718-945-1100    
Cintia Abrantkoski-murphy,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11412 Beach Channel Dr, Rockaway Park, NY 11694
Phone: 718-474-3375    
Caitlin Kerri Gavitt, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12105 Rockaway Beach Blvd, Rockaway Park, NY 11694
Phone: 718-412-9980    
Mrs. Susan Marie Quinn-torpey, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11412 Beach Channel Dr, Suite #7, Rockaway Park, NY 11694
Phone: 718-318-6021    Fax: 718-318-6021

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.