Sophie B Peltzer-rollo, NP in Poughkeepsie, NY

Sophie B Peltzer-rollo, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Poughkeepsie, New York. Her current practice location is 178 Church St, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (973) 951-1650.

Sophie B Peltzer-rollo is licensed to practice in New York (license number F421097-1) 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 1053662064.

Contact Information

	Sophie B Peltzer-rollo, NP
	178 Church St, Poughkeepsie, NY 12601-4165
	(973) 951-1650
	Not Available

Map and Direction

Provider's Profile

Full Name	Sophie B Peltzer-rollo
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	178 Church St, 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: 1053662064
Provider Enumeration Date: 10/01/2012
Last Update Date: 10/01/2012

Medicare PECOS Information:

PECOS PAC ID: 8426287640
Enrollment ID: I20140211001580

Medical Identifiers

Medical identifiers for Sophie B Peltzer-rollo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053662064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	F421097-1 (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. Sophie B Peltzer-rollo allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Sophie B Peltzer-rollo 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
Sophie B Peltzer-rollo, NP Po Box 71, High Falls, NY 12440-0071 Ph: (973) 951-1650	Sophie B Peltzer-rollo, NP 178 Church St, Poughkeepsie, NY 12601-4165 Ph: (973) 951-1650

Reviews and Comments

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Sophie B Peltzer-rollo, NP - Medicare Nurse Practitioner in Poughkeepsie, NY