Mrs Olivia O'malley, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lake Ronkonkoma, New York. Her current practice location is
6 Glen Dr, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 774-9793.
Mrs Olivia O'malley is licensed to practice in New York (license number F383479-01) 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 1669186615.
Provider's Profile
| Full Name | Mrs Olivia O'malley |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 6 Glen Dr, Lake Ronkonkoma, 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: 1669186615
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325490550
- Enrollment ID: I20240123003608
Medical Identifiers
Medical identifiers for Mrs Olivia O'malley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669186615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F383479-01 (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 Olivia O'malley allows following entities to bill medicare on her behalf.
| Entity Name | North Shore-lij Medical Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
|---|
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 Olivia O'malley 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 Olivia O'malley, NP
6 Glen Dr,
Lake Ronkonkoma, NY 11779-1506
Ph: (631) 774-9793 | Mrs Olivia O'malley, NP
6 Glen Dr,
Lake Ronkonkoma, NY 11779-1506
Ph: (631) 774-9793 |
Reviews and Comments