Mrs Melba Paulose, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Hollis, Queens, New York. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samaritan Medical Services Pc and her current practice location is
194-44 Woodhull Ave, Hollis, Queens, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 967-3681.
Mrs Melba Paulose is licensed to practice in New York (license number F310011-01) 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 1578222972.
Provider's Profile
| Full Name | Mrs Melba Paulose |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 194-44 Woodhull Ave, Hollis, Queens, New York |
|---|
| Accepts Medicare Assignments | Yes. 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 Melba Paulose graduated from nursing school in 2020
NPI Data:
- NPI Number: 1578222972
- Provider Enumeration Date: 12/13/2021
- Last Update Date: 12/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294127478
- Enrollment ID: I20220120000850
Medical Identifiers
Medical identifiers for Mrs Melba Paulose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578222972 | NPI | - | NPPES |
| F310011-01 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | F310011-01 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Samaritan Medical Services Pc | 7012016009 | 276 |
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 Melba Paulose allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Medical Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124184544
PECOS PAC ID: 7012016009
Enrollment ID: O20070727000051 |
|---|
| Entity Name | Medical Director Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218 |
|---|
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 Melba Paulose 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 Melba Paulose, NP
17 5th Pl,
Syosset, NY 11791-3605
Ph: (516) 967-3681 | Mrs Melba Paulose, NP
194-44 Woodhull Ave,
Hollis, Queens, NY 11423
Ph: (516) 967-3681 |
Reviews and Comments