Roannie Divine Papa Santos, FNP in Bayside, NY

Roannie Divine Papa Santos, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bayside, New York. Her current practice location is 4401 Francis Lewis Blvd Ste L3a, Bayside, New York. You can reach out to her office (for appointments etc.) via phone at (718) 423-3355.

Roannie Divine Papa Santos is licensed to practice in New York (license number F339421-1) 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 1275925877.

Contact Information

	Roannie Divine Papa Santos, FNP
	4401 Francis Lewis Blvd Ste L3a, Bayside, NY 11361-3028
	(718) 423-3355
	Not Available

Map and Direction

Provider's Profile

Full Name	Roannie Divine Papa Santos
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4401 Francis Lewis Blvd Ste L3a, Bayside, 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: 1275925877
Provider Enumeration Date: 02/19/2015
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6800286352
Enrollment ID: I20211124001207

Medical Identifiers

Medical identifiers for Roannie Divine Papa Santos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275925877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F339421-1 (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. Roannie Divine Papa Santos allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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. Roannie Divine Papa Santos 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
Roannie Divine Papa Santos, FNP 1 Gustave L. Levy Place, Box 1030 (cath Lab), New York, NY 10029 Ph: (212) 241-6500	Roannie Divine Papa Santos, FNP 4401 Francis Lewis Blvd Ste L3a, Bayside, NY 11361-3028 Ph: (718) 423-3355

Reviews and Comments

Nurse Practitioner Nurses in Bayside, NY

Olga Goldenberg, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 216th St, Bayside, NY 11360 Phone: 718-281-8800
Mrs. Oke Joo N/a Yoo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2629 210th St, Bayside, NY 11360 Phone: 646-714-5260
Ying Xu, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22718 56th Ave, Bayside, NY 11364 Phone: 718-679-5678
Diana Krasnopolski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4223 Francis Lewis Blvd, Suite 105, Bayside, NY 11361 Phone: 718-225-5106 Fax: 718-225-0816
Ms. Sung Kim, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Francis Lewis Blvd Ste 3a, Bayside, NY 11361 Phone: 718-309-4797
Jeannie Parlan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3611 Corporal Kennedy St, Bayside, NY 11361 Phone: 718-785-6720
Mija Ha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21763 77th Ave, Bayside, NY 11364 Phone: 917-588-6962

Roannie Divine Papa Santos, FNP - Medicare Nurse Practitioner in Bayside, NY