Theresa Vertullo, PNP - Medicare Nurse Practitioner in Patchogue, NY

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Theresa Vertullo, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Patchogue, New York. Her current practice location is 155 East Woodside Avenue, Patchogue, New York. You can reach out to her office (for appointments etc.) via phone at (631) 758-6565.

Theresa Vertullo is licensed to practice in New York (license number F382155-1) 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 1790081107.

Contact Information

Theresa Vertullo, PNP
155 East Woodside Avenue,
Patchogue, NY 11772
(631) 758-6565
(631) 758-6568

Map and Direction




Provider's Profile

Full NameTheresa Vertullo
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location155 East Woodside Avenue, Patchogue, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790081107
  • Provider Enumeration Date: 02/02/2011
  • Last Update Date: 03/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8123274222
  • Enrollment ID: I20120806000371

Medical Identifiers

Medical identifiers for Theresa Vertullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790081107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics F382155-1 (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. Theresa Vertullo allows following entities to bill medicare on her behalf.
Entity NameBoston Children's Health Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467454967
PECOS PAC ID: 8325937014
Enrollment ID: O20040311000864
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468

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 Vertullo 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 Vertullo, PNP
155 E Woodside Ave,
Patchogue, NY 11772-1423

Ph: (631) 375-8486		Theresa Vertullo, PNP
155 East Woodside Avenue,
Patchogue, NY 11772

Ph: (631) 758-6565

Reviews and Comments


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Linda Belber, ANP
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Marie Christine Didonato, PMHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 122 W Roe Blvd, Patchogue, NY 11772
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Debra Tesoriero, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 155 E Woodside Ave, Patchogue, NY 11772
Phone: 631-758-6565    Fax: 631-758-6568
Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772
Phone: 631-758-4444    Fax: 631-758-1984

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.