Mrs Roberta Ann Dacus, ARNP in New York, NY - Medicare Nurse Practitioner

Mrs Roberta Ann Dacus, ARNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 530 5th Ave Fl 10, New York, New York. You can reach out to her office (for appointments etc.) via phone at (917) 261-4414.

Mrs Roberta Ann Dacus is licensed to practice in Texas (license number AP107088) 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 1407835101.

Contact Information

	Mrs Roberta Ann Dacus, ARNP
	530 5th Ave Fl 10, New York, NY 10036-5114
	(917) 261-4414
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Roberta Ann Dacus
Gender	Female
Speciality	Nurse Practitioner - Family
Location	530 5th Ave Fl 10, New York, 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: 1407835101
Provider Enumeration Date: 01/11/2006
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0941308365
Enrollment ID: I20090202000325

Medical Identifiers

Medical identifiers for Mrs Roberta Ann Dacus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407835101	NPI	-	NPPES
154934	Other		LYI
9632647	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704379404 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	20496 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	C-APN.0001472-C-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	AP30006084 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	348412 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	209.025719 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	AP107088 (Texas)	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 Roberta Ann Dacus allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Urgent Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598059776 PECOS PAC ID: 2567891609 Enrollment ID: O20200410001319

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 Roberta Ann Dacus 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 Roberta Ann Dacus, ARNP 120 Horizon Ridge Cv, Liberty Hill, TX 78642-2079 Ph: (915) 208-3468	Mrs Roberta Ann Dacus, ARNP 530 5th Ave Fl 10, New York, NY 10036-5114 Ph: (917) 261-4414

Reviews and Comments

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Mrs Roberta Ann Dacus, ARNP - Medicare Nurse Practitioner in New York, NY