Ms Kala Jessy Mathew, AGACNP-BC - Medicare Nurse Practitioner in Merrick, NY

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Ms Kala Jessy Mathew, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Merrick, New York. Her current practice location is 1406 Cecily Dr, Merrick, New York. You can reach out to her office (for appointments etc.) via phone at (516) 205-3458.

Ms Kala Jessy Mathew is licensed to practice in New York (license number F432665-01) 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 1295412146.

Contact Information

Ms Kala Jessy Mathew, AGACNP-BC
1406 Cecily Dr,
Merrick, NY 11566
(516) 205-3458
Not Available

Map and Direction




Provider's Profile

Full NameMs Kala Jessy Mathew
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1406 Cecily Dr, Merrick, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295412146
  • Provider Enumeration Date: 07/03/2023
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426499971
  • Enrollment ID: I20240515000332

Medical Identifiers

Medical identifiers for Ms Kala Jessy Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295412146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care F432665-01 (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. Ms Kala Jessy Mathew allows following entities to bill medicare on her behalf.
Entity NameChs Physician Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124497771
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027
Entity NameNorth Shore Health System Medical Faculty Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003409061
PECOS PAC ID: 8022417328
Enrollment ID: O20210518002265

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 Kala Jessy Mathew 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 AddressPractice Location Address
Ms Kala Jessy Mathew, AGACNP-BC
450 Lakeville Road, Entrance B,
Lake Success, NY 11042

Ph: (516) 734-8900		Ms Kala Jessy Mathew, AGACNP-BC
1406 Cecily Dr,
Merrick, NY 11566

Ph: (516) 205-3458

Reviews and Comments


Nurse Practitioner Nurses in Merrick, NY

Dana Ahern Flick,
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Phone: 516-377-2820    
Susu Huang,
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Practice Location: 2094 Merrick Ave, Merrick, NY 11566
Phone: 516-600-0676    Fax: 516-863-2963
Sumra Khan, NP
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Phone: 516-771-9797    
Galia Bagdasarov, FNP-BC
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Practice Location: 2079 Lawry Ln, Merrick, NY 11566
Phone: 516-851-0817    
Marygrace E Colucci, NP
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Medicare: Medicare Enrolled
Practice Location: 1703 Merrick Ave, Merrick, NY 11566
Phone: 516-378-3311    Fax: 516-546-1517
Mr. Michael C Poliseno, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 2094 Merrick Ave, Merrick, NY 11566
Phone: 516-375-5904    Fax: 516-804-2784
Mrs. Christina Scavo, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 31 Merrick Ave Ste 10, Merrick, NY 11566
Phone: 516-776-8062    Fax: 888-608-7845

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.