Ms Ellen Jo Fasanaro, NP in Hawthorne, NJ - Medicare Nurse Practitioner

Ms Ellen Jo Fasanaro, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hawthorne, New Jersey. Her current practice location is 1114 Goffle Rd, Hawthorne, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 427-7676.

Ms Ellen Jo Fasanaro is licensed to practice in New Jersey (license number 26NN08252000) 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 1760526610.

Contact Information

	Ms Ellen Jo Fasanaro, NP
	1114 Goffle Rd, Hawthorne, NJ 07506-2014
	(973) 427-7676
	(973) 427-7476

Map and Direction

Provider's Profile

Full Name	Ms Ellen Jo Fasanaro
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1114 Goffle Rd, Hawthorne, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760526610
Provider Enumeration Date: 02/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860844495
Enrollment ID: I20240119001296

Medical Identifiers

Medical identifiers for Ms Ellen Jo Fasanaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760526610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	26NN08252000 (New Jersey)	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. Ms Ellen Jo Fasanaro allows following entities to bill medicare on her behalf.

Entity Name	Valley Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824

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 Ellen Jo Fasanaro 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 Ellen Jo Fasanaro, NP 1114 Goffle Rd, Hawthorne, NJ 07506-2014 Ph: (973) 427-7676	Ms Ellen Jo Fasanaro, NP 1114 Goffle Rd, Hawthorne, NJ 07506-2014 Ph: (973) 427-7676

Reviews and Comments

Nurse Practitioner Nurses in Hawthorne, NJ

Gabriela Sanchez, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-341-9869
Mrs. Joanne Affinito, RN, MSN, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Brownstone Ter, Hawthorne, NJ 07506 Phone: 201-602-8374
Ms. Mary C Bergin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Goffle Rd, Hawthorne, NJ 07506 Phone: 973-427-7676 Fax: 973-427-7476
Mrs. Phyllis E Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Goffle Rd, Hawthorne, NJ 07506 Phone: 973-427-7676 Fax: 973-427-7476
Kimberly A Miletti, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Lafayette Ave Ste 202, Hawthorne, NJ 07506 Phone: 973-363-4850 Fax: 973-363-4606
Noreen M Hartnett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1083 Goffle Rd # 2025, Hawthorne, NJ 07506 Phone: 973-427-2421
Mrs. Christina Sauro, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 N 16th St, Hawthorne, NJ 07506 Phone: 609-707-5011

Ms Ellen Jo Fasanaro, NP - Medicare Nurse Practitioner in Hawthorne, NJ