Mrs Erewarifagha Minini Haidome, PMHNP-BC - Medicare Nurse Practitioner in Jamaica, NY

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Mrs Erewarifagha Minini Haidome, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jamaica, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shakespeare Operating Llc and her current practice location is 14036 170th St, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at (347) 843-7760.

Mrs Erewarifagha Minini Haidome is licensed to practice in New York (license number 403564) 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 1114301728.

Contact Information

Mrs Erewarifagha Minini Haidome, PMHNP-BC
14036 170th St,
Jamaica, NY 11434-4632
(347) 843-7760
Not Available

Map and Direction




Provider's Profile

Full NameMrs Erewarifagha Minini Haidome
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location14036 170th St, Jamaica, 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:
  • Mrs Erewarifagha Minini Haidome graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1114301728
  • Provider Enumeration Date: 07/13/2015
  • Last Update Date: 11/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911399845
  • Enrollment ID: I20220126001024

Medical Identifiers

Medical identifiers for Mrs Erewarifagha Minini Haidome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114301728NPI-NPPES
1114301728OtherNYNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 621055-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403564 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shakespeare Operating Llc084060431099

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 Erewarifagha Minini Haidome allows following entities to bill medicare on her behalf.
Entity NameThe Guidance Center Of Westchester, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861506974
PECOS PAC ID: 8325939432
Enrollment ID: O20040319001647
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameRimisac Family Health Np Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083020242
PECOS PAC ID: 3678791514
Enrollment ID: O20140905001892
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameShakespeare Operating Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720634538
PECOS PAC ID: 0840604310
Enrollment ID: O20210123000014

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 Erewarifagha Minini Haidome 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
Mrs Erewarifagha Minini Haidome, PMHNP-BC
3963 Murdock Ave,
Bronx, NY 10466-2442

Ph: (347) 281-0304		Mrs Erewarifagha Minini Haidome, PMHNP-BC
14036 170th St,
Jamaica, NY 11434-4632

Ph: (347) 843-7760

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).

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