Ms Angela Douglas-staley, RN, NP in New York, NY

Ms Angela Douglas-staley, RN, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Montefiore Medical Center, Staley Psychiatric Nurse Practitioner Pllc and her current practice location is 2369 2nd Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 876-2300.

Ms Angela Douglas-staley is licensed to practice in New York (license number F401312-1) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1538469770.

Contact Information

	Ms Angela Douglas-staley, RN, NP
	2369 2nd Ave, New York, NY 10035-3108
	(212) 876-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Angela Douglas-staley
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	2369 2nd Ave, New York, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Angela Douglas-staley graduated from nursing school in 2010

NPI Data:

NPI Number: 1538469770
Provider Enumeration Date: 10/21/2010
Last Update Date: 01/30/2019

Medicare PECOS Information:

PECOS PAC ID: 4688806805
Enrollment ID: I20140422000958

Medical Identifiers

Medical identifiers for Ms Angela Douglas-staley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538469770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F401312-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Montefiore Medical Center	Bronx, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Montefiore Medical Center	3779496021	2350
Staley Psychiatric Nurse Practitioner Pllc	7911328075	2

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. Ms Angela Douglas-staley allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	Staley Psychiatric Nurse Practitioner Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316581267 PECOS PAC ID: 7911328075 Enrollment ID: O20200528002557

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. Ms Angela Douglas-staley 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
Ms Angela Douglas-staley, RN, NP 413 Beach Ave, Bronx, NY 10473-3609 Ph: (646) 528-7246	Ms Angela Douglas-staley, RN, NP 2369 2nd Ave, New York, NY 10035-3108 Ph: (212) 876-2300

Reviews and Comments

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Ms Angela Douglas-staley, RN, NP - Medicare Nurse Practitioner in New York, NY