Ms Kristie Cannova, FNP - Medicare Nurse Practitioner in Staten Island, NY

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Ms Kristie Cannova, FNP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 639 Rathbun Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 702-7988.

Ms Kristie Cannova is licensed to practice in New York (license number 347219) 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 1225622756.

Contact Information

Ms Kristie Cannova, FNP
639 Rathbun Ave,
Staten Island, NY 10312-2612
(718) 702-7988
Not Available

Map and Direction




Provider's Profile

Full NameMs Kristie Cannova
GenderFemale
SpecialityNurse Practitioner - Family
Location639 Rathbun Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225622756
  • Provider Enumeration Date: 02/25/2021
  • Last Update Date: 02/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072986629
  • Enrollment ID: I20230301000416

Medical Identifiers

Medical identifiers for Ms Kristie Cannova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225622756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 347219 (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 Kristie Cannova allows following entities to bill medicare on her behalf.
Entity NameSjr Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366468936
PECOS PAC ID: 5991608440
Enrollment ID: O20040130000847
Entity NameMemorial Solid Tumor Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699746172
PECOS PAC ID: 4082503354
Enrollment ID: O20040313000668
Entity NameMemorial Developmental Chemo Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978487
PECOS PAC ID: 5395636419
Enrollment ID: O20040320000110

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 Kristie Cannova 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 Kristie Cannova, FNP
639 Rathbun Ave,
Staten Island, NY 10312-2612

Ph: (718) 702-7988		Ms Kristie Cannova, FNP
639 Rathbun Ave,
Staten Island, NY 10312-2612

Ph: (718) 702-7988

Reviews and Comments


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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.

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