Petagay P Fairclough, in Poughkeepsie, NY - Medicare Nurse Practitioner

Petagay P Fairclough, is a medicare enrolled "Nurse Practitioner - Family" in Poughkeepsie, New York. Her current practice location is 45 Reade Pl, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 454-8500.

Petagay P Fairclough is licensed to practice in New York (license number F351722-01) 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 1710675566.

Contact Information

	Petagay P Fairclough,
	45 Reade Pl, Poughkeepsie, NY 12601-3947
	(845) 454-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Petagay P Fairclough
Gender	Female
Speciality	Nurse Practitioner - Family
Location	45 Reade Pl, Poughkeepsie, 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: 1710675566
Provider Enumeration Date: 04/28/2023
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2860839339
Enrollment ID: I20240319003508

Medical Identifiers

Medical identifiers for Petagay P Fairclough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710675566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F351722-01 (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. Petagay P Fairclough allows following entities to bill medicare on her behalf.

Entity Name	Nuvance Health Medical Practice, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436

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. Petagay P Fairclough 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
Petagay P Fairclough, 72 Lent St, Poughkeepsie, NY 12601-2728 Ph: (845) 240-4987	Petagay P Fairclough, 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 454-8500

Reviews and Comments

Nurse Practitioner Nurses in Poughkeepsie, NY

Miss Laura Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-473-8996 Fax: 845-797-5054
Christine Wilson, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500
Olivia Maamle Obuabang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Knightsbridge Unit E, Poughkeepsie, NY 12603 Phone: 646-245-9527
Dorothy A Gioia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 696 Dutchess Tpke Ste 11, Poughkeepsie, NY 12603 Phone: 845-454-8200 Fax: 845-343-3295
Ms. Lisa Gruenhut Gold, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bushwick Rd Ste B, Poughkeepsie, NY 12603 Phone: 845-654-0506 Fax: 845-842-1361
Matthew John Pernice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 696 Dutchess Tpke, Poughkeepsie, NY 12603 Phone: 845-204-9260
Margaret Speedling, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 488 Freedom Plains Rd, Poughkeepsie, NY 12603 Phone: 845-452-5151

Petagay P Fairclough, - Medicare Nurse Practitioner in Poughkeepsie, NY