Ms Nerissa Nicole Kennedy, PA - Medicare Physician Assistant in Belleville, NJ

  1. Home
  2. Physician Assistant
  3. NJ
  4. Belleville
Ms Nerissa Nicole Kennedy, PA is a medicare enrolled "Physician Assistant" in Belleville, New Jersey. Her current practice location is 36 Newark Ave, Belleville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-2209.

Ms Nerissa Nicole Kennedy is licensed to practice in New Jersey (license number 25MP00398500) 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 1841640547.

Contact Information

Ms Nerissa Nicole Kennedy, PA
36 Newark Ave,
Belleville, NJ 07109-4119
(973) 429-2209
(973) 429-2210

Map and Direction




Provider's Profile

Full NameMs Nerissa Nicole Kennedy
GenderFemale
SpecialityPhysician Assistant
Location36 Newark Ave, Belleville, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841640547
  • Provider Enumeration Date: 06/14/2016
  • Last Update Date: 02/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294021580
  • Enrollment ID: I20160913001824

Medical Identifiers

Medical identifiers for Ms Nerissa Nicole Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841640547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00398500 (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 Nerissa Nicole Kennedy allows following entities to bill medicare on her behalf.
Entity NameLifeline Medical Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821041617
PECOS PAC ID: 1456332170
Enrollment ID: O20040528000067
Entity NameOptum Medical Care of New Jersey PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129

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 Nerissa Nicole Kennedy 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 Nerissa Nicole Kennedy, PA
1 Harmon Plz Fl 3,
Secaucus, NJ 07094-2803

Ph: (551) 257-7039		Ms Nerissa Nicole Kennedy, PA
36 Newark Ave,
Belleville, NJ 07109-4119

Ph: (973) 429-2209

Reviews and Comments


Physician Assistant Nurses in Belleville, NJ

Miss Lucknie Ovincy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Newark Ave, Belleville, NJ 07109
Phone: 973-751-2060    
Jurga Marshall, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    
Lellas Alhallak, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
James Pormentilla, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109
Phone: 973-450-2000    Fax: 973-251-1109
Alexandria Mary Zummo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    
Jessica Rochelle Lansky,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2100    
Kedar Jani, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109
Phone: 973-450-2000    

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.