Otmaine Benassou, PMHNP in Staten Island, NY - Medicare Nurse Practitioner

Otmaine Benassou, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Staten Island, New York. His current practice location is 669 Castleton Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 442-2225.

Otmaine Benassou is licensed to practice in New York (license number F402232-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699286559.

Contact Information

	Otmaine Benassou, PMHNP
	669 Castleton Ave, Staten Island, NY 10301-2028
	(718) 442-2225
	(718) 442-2289

Map and Direction

Provider's Profile

Full Name	Otmaine Benassou
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	669 Castleton Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699286559
Provider Enumeration Date: 10/18/2017
Last Update Date: 10/18/2017

Medicare PECOS Information:

PECOS PAC ID: 5597099101
Enrollment ID: I20190701001551

Medical Identifiers

Medical identifiers for Otmaine Benassou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699286559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F402232-1 (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. Otmaine Benassou allows following entities to bill medicare on his behalf.

Entity Name	Amboy Medical Practice, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024

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. Otmaine Benassou 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
Otmaine Benassou, PMHNP 14350 Hoover Ave Apt 303, Briarwood, NY 11435-2158 Ph: (347) 579-8495	Otmaine Benassou, PMHNP 669 Castleton Ave, Staten Island, NY 10301-2028 Ph: (718) 442-2225

Reviews and Comments

Nurse Practitioner Nurses in Staten Island, NY

Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146
Alexis Rigo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650

Otmaine Benassou, PMHNP - Medicare Nurse Practitioner in Staten Island, NY