Theresa Jeanne Nicosia, RN MS FNP - Medicare Nurse Practitioner in Lake Grove, NY

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Theresa Jeanne Nicosia, RN MS FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Grove, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc, Harbor View Medical Services Pc and her current practice location is 6 Park View Ln, Lake Grove, New York. You can reach out to her office (for appointments etc.) via phone at (631) 467-8229.

Theresa Jeanne Nicosia is licensed to practice in New York (license number F334231-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710077821.

Contact Information

Theresa Jeanne Nicosia, RN MS FNP
6 Park View Ln,
Lake Grove, NY 11755-1854
(631) 467-8229
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Jeanne Nicosia
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location6 Park View Ln, Lake Grove, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Jeanne Nicosia attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1710077821
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 05/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284683558
  • Enrollment ID: I20050113001020

Medical Identifiers

Medical identifiers for Theresa Jeanne Nicosia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710077821NPI-NPPES
02703515MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F334231-1 (New York)Primary
363LP2300XNurse Practitioner - Primary Care F334231 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685099
Harbor View Medical Services Pc509286587347

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. Theresa Jeanne Nicosia allows following entities to bill medicare on her behalf.
Entity NameHarbor View Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861636219
PECOS PAC ID: 5092865873
Enrollment ID: O20090617000230
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Theresa Jeanne Nicosia 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
Theresa Jeanne Nicosia, RN MS FNP
6 Park View Ln,
Lake Grove, NY 11755-1854

Ph: (631) 467-8229		Theresa Jeanne Nicosia, RN MS FNP
6 Park View Ln,
Lake Grove, NY 11755-1854

Ph: (631) 467-8229

Reviews and Comments


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Kuldeep Singh, NURSE PRACTITIONER
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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.