Stacy Sanicola, NURSE PRACTITIONER - Medicare Nurse Practitioner in Staten Island, NY

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Stacy Sanicola, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 477 Philip Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 295-3957.

Stacy Sanicola is licensed to practice in New York (license number 342171) 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 1790200459.

Contact Information

Stacy Sanicola, NURSE PRACTITIONER
477 Philip Ave,
Staten Island, NY 10312-5818
(917) 295-3957
Not Available

Map and Direction




Provider's Profile

Full NameStacy Sanicola
GenderFemale
SpecialityNurse Practitioner - Family
Location477 Philip Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790200459
  • Provider Enumeration Date: 08/03/2017
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668816448
  • Enrollment ID: I20240220003284

Medical Identifiers

Medical identifiers for Stacy Sanicola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790200459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 342171 (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. Stacy Sanicola allows following entities to bill medicare on her behalf.
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538109269
PECOS PAC ID: 6800709023
Enrollment ID: O20031215000282
Entity NameWeill Cornell Imaging At New York Presbyterian
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447430152
PECOS PAC ID: 6800986829
Enrollment ID: O20080229000019

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. Stacy Sanicola 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
Stacy Sanicola, NURSE PRACTITIONER
73 Gervil St,
Staten Island, NY 10309-4230

Ph: (917) 295-3957		Stacy Sanicola, NURSE PRACTITIONER
477 Philip Ave,
Staten Island, NY 10312-5818

Ph: (917) 295-3957

Reviews and Comments


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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).

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