Mrs Tara K Piccolo, MSN, NNP-BC in Stony Brook, NY

Mrs Tara K Piccolo, MSN, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Stony Brook, New York. Her current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-2710.

Mrs Tara K Piccolo is licensed to practice in New York (license number 350558) 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 1023757812.

Contact Information

	Mrs Tara K Piccolo, MSN, NNP-BC
	101 Nicolls Rd, Stony Brook, NY 11794-0001
	(631) 444-2710
	(631) 444-7865

Map and Direction

Provider's Profile

Full Name	Mrs Tara K Piccolo
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	101 Nicolls Rd, Stony Brook, 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: 1023757812
Provider Enumeration Date: 06/01/2022
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 8628447141
Enrollment ID: I20221206000087

Medical Identifiers

Medical identifiers for Mrs Tara K Piccolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023757812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	350558 (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. Mrs Tara K Piccolo allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Children's Service, University Faculty Practice Corporatio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822

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. Mrs Tara K Piccolo 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
Mrs Tara K Piccolo, MSN, NNP-BC 22 Richlee St, Blue Point, NY 11715-1517 Ph: (631) 374-0274	Mrs Tara K Piccolo, MSN, NNP-BC 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 444-2710

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Mrs Tara K Piccolo, MSN, NNP-BC - Medicare Nurse Practitioner in Stony Brook, NY